1St Light Of Hope

LBN: 1St Light Of Hope
1St Light Of Hope is an health care organization with primary practice located at 118 Sw Andover Ct , Port Saint Lucie FL 34953-6961. The organization recently has only one registered license in Ambulatory Health Care Facilities / Developmental Disabilities, which is considered as the primary health care specialty. 1St Light Of Hope can be contacted via phone (772) 214-5860, or through Andrews, Don Durante via phone (772) 214-5860.

Contact Information

Primary practice address
118 Sw Andover Ct Port Saint Lucie FL 34953-6961
Phone: (772) 214-5860
Fax: (800) 854-2598
Website:
Map and Directions
Authorized official contact:
Name: Andrews, Don Durante
Phone: (772) 214-5860

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X

Profile Details

NPI number 1497349625
LBN Legal business name 1St Light Of Hope
DBA Doing business as
Authorized official Andrews, Don Durante
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 2021
Last updated Feb 28th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497349625 NPPES
Florida MEDICAID 1262

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