MEDICARE: SILVER LINING ASSISTED LIVING LLC

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	:	1992651889
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SILVER LINING ASSISTED LIVING LLC

Provider Business Mailing Address
First Line	:	1774 BINNEY DR
Second Line	:
City	:	FORT PIERCE
State	:	FL
Zip	:	34949-3507
Country	:	US
Telephone Number	:	772-265-2032
Fax Number	:

Provider Business Practice Location Address
First Line	:	1309 N 10TH ST
Second Line	:
City	:	FORT PIERCE
State	:	FL
Zip	:	34950-2208
Country	:	US
Telephone Number	:	772-265-2032
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. LATONYA R LEWIS
Credential	:	ADMINISTRATOR
Telephone Number	:	772-265-2032

Provider Enumeration Date	:	03/04/2026
Last Update Date	:	03/04/2026

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