The Residence of Stuart

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL8163 Issued in FL

Legal business name

THE RESIDENCE OF STUART

Practice address

1048 NW Fork Rd
Stuart, FL 34994-7603

Phone

(772) 692-2577

NPI assigned

May 14, 2008

Organization subpart

No

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

Authorized official

Name

Sosamma Thomas, R.N.

Title

Administrator

Phone

(772) 692-2577

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1306013677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1048 NW FORK RD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349947603",
            "telephone_number": "772-692-2577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1048 NW FORK RD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349947603",
            "telephone_number": "772-692-2577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RESIDENCE OF STUART",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "SOSAMMA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "772-692-2577",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL8163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Hope Center for Autism, Inc.
• The Lukens Group, LLC.
• The Lukens Group, LLC.
• The Mind Studio
• The Place at Stuart
• Dylan Thede
• Sara Theile
• Taylor Nicole Thein
• Wideline Thelemaque-Claire
• Ava Elizabeth Theng

• 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 May 14, 2008; 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.