The Cornerstones of Port St. Lucie, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

12131 Issued in FL

Legal business name

THE CORNERSTONES OF PORT ST. LUCIE, INC.

Doing business as

Rosie's Manor ALF

Practice address

1910 SE Rainier Rd
Port Saint Lucie, FL 34952-7610

Phone

(772) 337-4321

Fax

(772) 777-1159

NPI assigned

Apr 5, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Rina Aikens-Absalom

Title

President

Phone

(772) 370-8107

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Rosie's Manor ALF Doing business as

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.

• The Cornerstones of Port St. Lucie, Inc.

  • Assisted Living Facility
  • Port Saint Lucie, FL
  • NPI 1114355278
  NPD tax ID
• The Cornerstones of Port St. Lucie, Inc.

  • Assisted Living Facility
  • Port Saint Lucie, FL
  • NPI 1295159127
  NPD tax ID

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

{
    "created_epoch": "1333584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667260800000",
    "number": "1235495086",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 SE RAINIER RD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349527610",
            "telephone_number": "772-337-4321",
            "fax_number": "772-777-1159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CORNERSTONES OF PORT ST. LUCIE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-05",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A",
        "authorized_official_last_name": "AIKENS-ABSALOM",
        "authorized_official_first_name": "RINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-370-8107",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "12131",
            "primary": true
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "12131",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113493600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "AL 12131",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rosie's Manor ALF",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rosie's Manor ALF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Felicia Termine-Bonner, RN, IBCLC
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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 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.