Provider Demographics
NPI:1518522416
Name:NATES HEALTH SERVICES
Entity Type:Organization
Organization Name:NATES HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NERLANDE
Authorized Official - Middle Name:
Authorized Official - Last Name:BELLEVUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-263-8552
Mailing Address - Street 1:337 NW LA PLAYA ST
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34983-1576
Mailing Address - Country:US
Mailing Address - Phone:954-263-8552
Mailing Address - Fax:
Practice Address - Street 1:337 NW LA PLAYA ST
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34983-1576
Practice Address - Country:US
Practice Address - Phone:954-263-8552
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-06
Last Update Date:2022-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center