Organization Active NPI

The Cornerstones of Port St. Lucie, Inc.

  • Assisted Living Facility
  • Port Saint Lucie, FL
National Provider Identifier
1295159127
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
12544 Issued in FL
Legal business name
THE CORNERSTONES OF PORT ST. LUCIE, INC.
Doing business as
Lesaldo House ALF
Rosie's House ALF
Practice address
2073 SE Rainier Rd
Port Saint Lucie, FL 34952-7615
Phone
(772) 777-2629
Fax
(772) 777-1159
NPI assigned
Feb 12, 2014
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
Ceo
Phone
(772) 370-8107

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 12544 FL Primary
Assisted Living Facility (Mental Illness) 3104A0625X 12544 FL

Addresses

Primary practice location

2073 SE Rainier Rd
Port Saint Lucie, FL 34952-7615

Mailing address

1102 SW Ivanhoe St
Port Saint Lucie, FL 34983-2542
Phone (772) 777-2629

Other identifiers 2

IdentifierTypeStateIssuer
113451000MedicaidFL
12544OtherFLAHCA

Other names 2

  • Lesaldo House ALF Doing business as
  • Rosie's House 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.

Locations

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

NPI Registry JSON

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

{
    "created_epoch": "1392163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667260800000",
    "number": "1295159127",
    "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": "772-777-2629",
            "fax_number": "772-777-1159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2073 SE RAINIER RD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349527615",
            "telephone_number": "772-777-2629",
            "fax_number": "772-777-1159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CORNERSTONES OF PORT ST. LUCIE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-12",
        "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": "CEO",
        "authorized_official_telephone_number": "772-370-8107",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "12544",
            "primary": true
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "12544",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113451000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "12544",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lesaldo House ALF",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rosie's House 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.