MEDICARE: K AND L LOVING CARE OF PORT SAINT LUCIE II ASSISTED LIVING FACILITY IN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1063057255
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	K AND L LOVING CARE OF PORT SAINT LUCIE II ASSISTED LIVING FACILITY IN

Provider Business Mailing Address
First Line	:	3825 ASPEN LEAF DR
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33436-1713
Country	:	US
Telephone Number	:	561-628-8075
Fax Number	:

Provider Business Practice Location Address
First Line	:	1243 SW FOX CT
Second Line	:
City	:	PORT SAINT LUCIE
State	:	FL
Zip	:	34953-6863
Country	:	US
Telephone Number	:	561-628-8075
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MS. LOTOYA HIBBERT
Credential	:
Telephone Number	:	561-628-8075

Provider Enumeration Date	:	11/12/2019
Last Update Date	:	11/12/2019

Similar Medicare Providers

1861831372 — ABSOLUTE WARM CARE LLC
Practice Location Address:

1243 SW FOX CT
PORT ST LUCIE, FL
34953-6863

Practice Phone: 561-291-1637
Practice Fax:

1518775931 — ENDLESS CARE ALF LLC
Practice Location Address:

1245 SW FOX CT
PORT SAINT LUCIE, FL
34953-6863

Practice Phone: 561-654-6060
Practice Fax:

1639528540 — DR. KYLE JAMES NEUSCHAEFER DDS
Practice Location Address:

1319 CAULKS HILL RD
SAINT CHARLES, MO
63304-6863

Practice Phone: 636-441-3430
Practice Fax:

1346256435 — DR. ROBERT WELDON THOMPSON D.D.S.
Practice Location Address:

1319 CAULKS HILL RD
SAINT CHARLES, MO
63304-6863

Practice Phone: 636-441-3430
Practice Fax:

1376656819 — DR. CHARLES WALTER MOORE D.D.S.
Practice Location Address:

1319 CAULKS HILL RD
SAINT CHARLES, MO
63304-6863

Practice Phone: 636-441-3430
Practice Fax:

1700188703 — THOMPSON AND MOORE, D.D.S., P.C.
Practice Location Address:

1319 CAULKS HILL RD
SAINT CHARLES, MO
63304-6863

Practice Phone: 636-441-3430
Practice Fax: 636-441-5987

Directions to “K AND L LOVING CARE OF PORT SAINT LUCIE II ASSISTED LIVING FACILITY IN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.