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Paradise Port St Lucie, LLC

Assisted Living Facility in Port St Lucie, FL · enumerated 2008 · authorized official Tina Bass, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1407023054

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Registry record

Entity type Organization (Type 2)
Legal business name Paradise Port St Lucie, LLC
Other name <Unavail>
Practice address 2277 Se Lennard Rd, Port St Lucie, FL, 34952
Phone (772) 398-8899
Fax (772) 398-3322
Enumeration date May 13, 2008
Last updated in NPPES May 13, 2008

Taxonomy & classification

310400000X Assisted Living Facility Nursing & Custodial Care Facilities · License AL8585 (FL) Primary

Authorized official

Name Tina Bass
Title Administrator
Phone (772) 398-8899

Other identifiers

Identifier Type State Issuer
679064000 Medicaid FL -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Paradise Port St Lucie, LLC?
The NPI for Paradise Port St Lucie, LLC is 1407023054, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Paradise Port St Lucie, LLC?
NPPES lists Tina Bass (Administrator) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-05-13.