Innovate Assisted Living Facility

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12885 Issued in FL

Legal business name

INNOVATE ASSISTED LIVING FACILITY

Practice address

5586 SE Collins Ave
Stuart, FL 34997-8062

Phone

(305) 321-1904

NPI assigned

Nov 22, 2016

Last updated

Nov 22, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Navia Blackwood, RNNPI 1245786912

Title

Administrator

Phone

(305) 321-1904

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Navia Blackwood, RN, BSN

  • Community Health Worker
  • Stuart, FL
  • NPI 1245786912
  NPD (past) Authorized official

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

{
    "created_epoch": "1479772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479772800000",
    "number": "1215470216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5586 SE COLLINS AVE",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349978062",
            "telephone_number": "305-321-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5586 SE COLLINS AVE",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349978062",
            "telephone_number": "305-321-1904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATE ASSISTED LIVING FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-22",
        "last_updated": "2016-11-22",
        "status": "A",
        "authorized_official_last_name": "BLACKWOOD",
        "authorized_official_first_name": "NAVIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-321-1904",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Industrial Health Solutions, P.a.
• Infinity Healthcare Stuart LLC
• Erin Lynn Inga, RN
• Candi Gayle Ingleton
• Natacha Innocent, L.P.N.
• Inspired Nutrition
• Institute for Restoration & Renewal
• Institute of Colorectal Health & Wellness, LLC
• Integrated Medical Care Center LLC
• Integrated Regional Laboratories Pathology Services, LLC

• Assisted Living Facility in Stuart, FL
• Providers in Stuart, 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 Nov 22, 2016; 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.