OrganizationActive
Mizada Inc
NPI 1417206400 · Assisted Living Facility · Port St Lucie, FL
Mizada Inc is a Assisted Living Facility organization in Port St Lucie, FL (NPI 1417206400).
Provider details
- NPI number
- 1417206400
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Michelle Lightbourn, President(772) 336-5884
- License
- AH12155 (FL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3726 Sw Manak St
Port St Lucie, FL 34953-7705
Phone: (772) 336-5884
Street-level locationGet directions
Mailing address
3726 Sw Manak St
Port St Lucie, FL 34953-7705
Other names (DBA / former)
- Doing business as
- Mizada Assistant Living Facility
Registry dates
- Enumerated
- 2012-09-05
- Last updated
- 2012-09-05
Frequently asked questions
- What is Mizada Inc's NPI number?
- Mizada Inc's National Provider Identifier (NPI) is 1417206400, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mizada Inc?
- Mizada Inc is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Mizada Inc located?
- Mizada Inc's practice location on file with NPPES is 3726 Sw Manak St, Port St Lucie, FL 34953-7705.
- What is Mizada Inc's phone number?
- The practice phone number listed in the NPPES registry for Mizada Inc is (772) 336-5884.
- Who is the authorized official for Mizada Inc?
- The authorized official listed on Mizada Inc's NPPES record is Michelle Lightbourn, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mizada Inc's NPI active?
- Yes — Mizada Inc's NPI (1417206400) is active in the NPPES registry as of the last update on 2012-09-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.