Organization Active NPI

The Cornerstones of Port St. Lucie, Inc.

  • Assisted Living Facility
  • Port Saint Lucie, FL
National Provider Identifier
1114355278
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
11602 Issued in FL
Legal business name
THE CORNERSTONES OF PORT ST. LUCIE, INC.
Doing business as
Rosie's Place ALF
Practice address
1102 SW Ivanhoe St
Port Saint Lucie, FL 34983-2542
Phone
(772) 879-4950
Fax
(772) 807-7544
NPI assigned
Oct 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Authorized official

Name
Ms. Dawnmarie Lesaldo
Title
Director
Phone
(772) 879-4950

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 11602 FL Primary
Assisted Living Facility (Mental Illness) 3104A0625X 11602 FL

Addresses

Primary practice location

1102 SW Ivanhoe St
Port Saint Lucie, FL 34983-2542

Mailing address

1102 SW Ivanhoe St
Port Saint Lucie, FL 34983-2542
Phone (772) 879-4950

Other identifiers 3

IdentifierTypeStateIssuer
140258700MedicaidFL
11967589OtherFLAHCA NUMBER (FILE NUMBER)
11602OtherFLLICENSE NUMBER

Other names 1

  • Rosie's Place ALF Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lesaldo House Alf3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1382918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667260800000",
    "number": "1114355278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 SW IVANHOE ST",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349832542",
            "telephone_number": "772-879-4950",
            "fax_number": "772-807-7544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 SW IVANHOE ST",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349832542",
            "telephone_number": "772-879-4950",
            "fax_number": "772-807-7544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CORNERSTONES OF PORT ST. LUCIE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-28",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A",
        "authorized_official_last_name": "LESALDO",
        "authorized_official_first_name": "DAWNMARIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "772-879-4950",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "11602",
            "primary": true
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "11602",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140258700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA NUMBER (FILE NUMBER)",
            "identifier": "11967589",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "11602",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rosie's Place ALF",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rosie's Place ALF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.