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THE CORNERSTONES OF PORT ST. LUCIE INC. NPI 1114355278


NPI Information

NPI: 1114355278
Provider Name: THE CORNERSTONES OF PORT ST. LUCIE, INC.

Doing Business As: ROSIE'S PLACE ALF

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
1102 SW IVANHOE ST
PORT SAINT LUCIE, FL
ZIP 34983
Phone: (772) 879-4950
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THE CORNERSTONES OF PORT ST. LUCIE, INC. is an assisted living facility in Port Saint Lucie, FL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. THE CORNERSTONES OF PORT ST. LUCIE, INC. NPI is 1114355278. The provider is registered as an organization entity type.
The provider Is Doing Business As Rosie's Place Alf.

The provider's business location address is:

1102 SW IVANHOE ST
PORT SAINT LUCIE, FL
ZIP 34983-542
Phone: (772) 879-4950
Fax: (772) 807-7544

The provider's authorized official is Dawnmarie Lesaldo .
The authorized official title is Director and has the following contact phone number (772) 879-4950.

The enumeration date for this NPI number is 10/28/2013 and was last updated on 11/1/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13104A0625XAssisted Living FacilityAssisted Living, Mental Illness11602FLORIDANo
2310400000XAssisted Living Facility11602FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1140258700MEDICAIDFLORIDA
211967589OTHERFLORIDAAHCA NUMBER (FILE NUMBER)
311602OTHERFLORIDALICENSE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.