New Isle Group, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

NEW ISLE GROUP, LLC

Practice address

1782 SW Whipple Ave
Port Saint Lucie, FL 34953-5153

Phone

(772) 224-2935

NPI assigned

Jun 21, 2021

Organization subpart

Yes

Parent organization

NEW ISLE GROUP, LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Stacha Newell

Title

Owner

Phone

(772) 224-2935

Specialties & licenses 1

Addresses

Other names 1

• Bay Isles Senior Care ALF Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

New Isle Group LLC

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624233600000",
    "number": "1104495688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1782 SW WHIPPLE AVE",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349535153",
            "telephone_number": "772-224-2935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1782 SW WHIPPLE AVE",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349535153",
            "telephone_number": "772-224-2935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ISLE GROUP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW ISLE GROUP, LLC",
        "enumeration_date": "2021-06-21",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A",
        "authorized_official_last_name": "NEWELL",
        "authorized_official_first_name": "STACHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-224-2935",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bay Isles Senior Care ALF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.