Egret Pond, LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

CE9977335 Issued in FL

Legal business name

EGRET POND, LLC

Practice address

1760 SE Salerno Rd
Stuart, FL 34997-6442

Phone

(772) 288-1288

Fax

(772) 219-8458

NPI assigned

Mar 27, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Robert R. Deluca

Title

Owner

Phone

(772) 288-1288

Specialties & licenses 1

Addresses

Other names 1

• Egret Pond Adult Daycare Doing business as

Locations

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

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238112000000",
    "number": "1760624365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 SE SALERNO RD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349976442",
            "telephone_number": "772-288-1288",
            "fax_number": "772-219-8458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 SE SALERNO RD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349976442",
            "telephone_number": "772-288-1288",
            "fax_number": "772-219-8458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EGRET POND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-27",
        "last_updated": "2009-03-27",
        "status": "A",
        "authorized_official_last_name": "DELUCA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-288-1288",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "CE9977335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Egret Pond Adult Daycare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven X Edney, PSY. D.
• Annie Edwards
• Caroline Edwards, PSYD, LMFT, CAP
• Dawn Edwards
• Matthew C Egan, ATC
• Emily Eguchi-Miller
• Sandra Lynn Ehlinger
• Cynthia Price Ehrhardt, LMT,CNMT
• Amber Lynne Eidson, RBT
• Deborah Anna Paulette Eisenberg

• Adult Care Home Facility in Stuart, FL
• Providers in Stuart, FL by specialty
• Adult Care Home Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; 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.