OrganizationActive
Lighthouse Support Services, Inc.
NPI 1437127487 · Assisted Living Facility (Behavioral Disturbances) · Port St Lucie, FL
Provider details
- NPI number
- 1437127487
- Entity type
- Organization
- Primary specialty
- Assisted Living Facility (Behavioral Disturbances)Nursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Ruben Cancel, Ceo(772) 344-4954
- License
- F001 (FL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
826 Se Sweetbay Ave
Port St Lucie, FL 34983-4647
Phone: (772) 344-4954
Fax: (772) 344-5875
Approximate (ZIP-level) locationGet directions
Mailing address
826 Se Sweetbay Ave
Port St Lucie, FL 34983-4647
Other names (DBA / former)
- Doing business as
- Lighthouse Group Home
Registry dates
- Enumerated
- 2006-03-08
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.