Treasure Coast Assisted Living, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

TREASURE COAST ASSISTED LIVING, LLC

Practice address

1914 21St St
Vero Beach, FL 32960-3489

Phone

(772) 567-6769

Fax

(772) 567-5289

NPI assigned

Mar 26, 2022

Organization subpart

Yes

Parent organization

CASTLEWOOD ASSISTED LIVING RESIDENCE, LLCAs reported in NPPES

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

Authorized official

Name

Patricia Pacaud Brezault

Title

Administrator

Phone

(772) 567-6769

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• CASTLEWOOD ASSISTED LIVING RESIDENCE, LLC Doing business as

Tax ID family

Treasure Coast Assisted Living LLC2 organizations share this tax ID, including this one

Part of

Treasure Coast Assisted Living LLC

Other organizations with this tax ID 1

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

• Treasure Coast Assisted Living, LLC

  • Assisted Living Facility
  • Vero Beach, FL
  • NPI 1659133577
  NPD tax ID

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

{
    "created_epoch": "1648252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1154071769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1914 21ST ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329603489",
            "telephone_number": "772-567-6769",
            "fax_number": "772-320-9396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1914 21ST ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329603489",
            "telephone_number": "772-567-6769",
            "fax_number": "772-567-5289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREASURE COAST ASSISTED LIVING, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CASTLEWOOD ASSISTED  LIVING RESIDENCE, LLC",
        "enumeration_date": "2022-03-26",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A",
        "authorized_official_last_name": "PACAUD BREZAULT",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "772-567-6769"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116694600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALF LICENSE",
            "identifier": "13755",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CASTLEWOOD ASSISTED LIVING RESIDENCE, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CASTLEWOOD ASSISTED LIVING RESIDENCE, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Treasure Coast Assisted Living, LLC
• Treasure Coast Cardiovascular Institute Inc
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• Treasure Coast Community Health Inc

• Assisted Living Facility in Vero Beach, FL
• Providers in Vero Beach, 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 Jul 8, 2024; 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.