NPIMap

Organization Active NPI

Stuart Operating Corp

  • Skilled Nursing Facility
  • Stuart, FL
National Provider Identifier
1114097839
Registry record updated Jun 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
203998 Issued in FL
Legal business name
STUART OPERATING CORP
Practice address
1500 SE Palm Beach Rd
Stuart, FL 34994-4044
Phone
(772) 283-5887
NPI assigned
Nov 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2010

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

Authorized official

Name
Joseph Ficocello
Title
President
Phone
(772) 464-5911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 203998 FL Primary

Addresses

Primary practice location

1500 SE Palm Beach Rd
Stuart, FL 34994-4044

Mailing address

7300 Oleander Ave
Port St Lucie, FL 34952-8221
Phone (772) 464-5911

Other identifiers 1

IdentifierTypeStateIssuer
022599100MedicaidFL

Other names 1

  • Stuart Nursing & Restorative Care Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Eden Park Management Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276473600000",
    "number": "1114097839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 OLEANDER AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349528221",
            "telephone_number": "772-464-5911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SE PALM BEACH RD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349944044",
            "telephone_number": "772-283-5887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUART OPERATING CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2010-06-14",
        "status": "A",
        "authorized_official_last_name": "FICOCELLO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-464-5911"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "203998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022599100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stuart Nursing & Restorative Care Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.