COUNTRY LIVING ASSISTED CARE CENTER INC – Assisted Living Facility, NPI 1417135682

COUNTRY LIVING ASSISTED CARE CENTER INC is a healthcare provider. based in Port saint lucie, Florida. specializing in Assisted Living Facility. The organization holds a License No. AL11331 (FL). The NPI Number for COUNTRY LIVING ASSISTED CARE CENTER INC is 1417135682

Main info

Organization
Name
COUNTRY LIVING ASSISTED CARE CENTER INC
NPI
1417135682
Phone
(772) 621-8211
Address
1762 SW ARCH ST
Authorized Official
CAROL ANN CAMMARSANA ADM
Enumeration Date
9 February 2008
Last Update Date
31 October 2008
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for COUNTRY LIVING ASSISTED CARE CENTER INC

  • 1762, Southwest Arch Street, Port St. Lucie, St. Lucie County, Florida, 34953, United States

    PORT SAINT LUCIE, FL 349531558

    Phone: (772) 621-8211

    Fax: (772) 621-8211

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34953)

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Reviews

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Frequently asked questions

Can I use this page to confirm COUNTRY LIVING ASSISTED CARE CENTER INC's NPI?
Yes. COUNTRY LIVING ASSISTED CARE CENTER INC is listed with NPI 1417135682 in the public NPI dataset.
Does the file indicate COUNTRY LIVING ASSISTED CARE CENTER INC is practicing under active NPI?
Directory data currently reports COUNTRY LIVING ASSISTED CARE CENTER INC as active.
What is COUNTRY LIVING ASSISTED CARE CENTER INC best known for clinically?
Directory data describes COUNTRY LIVING ASSISTED CARE CENTER INC with Assisted Living Facility. Clinical services aligned with this taxonomy classification.
Where is COUNTRY LIVING ASSISTED CARE CENTER INC based?
COUNTRY LIVING ASSISTED CARE CENTER INC is tied to Port Saint Lucie, Florida in the data we show; additional addresses may exist on the full record.
Why does COUNTRY LIVING ASSISTED CARE CENTER INC have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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