Gardens Retreat

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

AL11039 Issued in FL

Legal business name

GARDENS RETREAT

Practice address

4405 SW 72ND Ave
Palm City, FL 34990

Phone

(772) 287-9713

Fax

(772) 287-9713

NPI assigned

Oct 26, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Walter Leslie Ellis, ADM.

Title

Administrator

Phone

(772) 287-9713

Specialties & licenses 1

Addresses

Tax ID family

Gardens Retreat2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Gardens Retreat, Inc.

  • Assisted Living Facility
  • Palm City, FL
  • NPI 1841457413
  NPD tax ID

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

{
    "created_epoch": "1351209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351209600000",
    "number": "1306199427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4405 SW 72ND AVE",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349905368",
            "telephone_number": "772-287-9713",
            "fax_number": "772-287-9713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 SW 72ND AVE",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "34990",
            "telephone_number": "772-287-9713",
            "fax_number": "772-287-9713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDENS RETREAT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-26",
        "last_updated": "2012-10-26",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "LESLIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "772-287-9713",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ADM."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": "AL11039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sebastian Galeano
• Shannon P Galinis, D.M.D.
• Thomas A. Galinis, D.M.D.
• Janet Garcia, LCSW
• Julissa Merie Garcia
• Gardens Retreat, Inc.
• Lynn Gardner
• Jacob Garing
• Annmarie Garman
• Cynthya Lizzette Garza

• Case Manager/Care Coordinator in Palm City, FL
• Providers in Palm City, FL by specialty
• Case Manager/Care Coordinator in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; 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.