Rosewood Garden of Port St.Lucie

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL9627 Issued in FL

Legal business name

ROSEWOOD GARDEN OF PORT ST.LUCIE

Practice address

643 NE Lagoon LN
Port St Lucie, FL 34983-1226

Phone

(772) 344-5974

Fax

(772) 879-7587

NPI assigned

Jul 26, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Agnes Joan Leslie

Title

Owner

Phone

(772) 224-9746

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1374796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374796800000",
    "number": "1801238159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "643 NE LAGOON LN",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349831226",
            "telephone_number": "772-344-5974",
            "fax_number": "772-879-7587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "643 NE LAGOON LN",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349831226",
            "telephone_number": "772-344-5974",
            "fax_number": "772-879-7587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEWOOD GARDEN OF PORT ST.LUCIE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-26",
        "last_updated": "2013-07-26",
        "status": "A",
        "authorized_official_last_name": "LESLIE",
        "authorized_official_first_name": "AGNES",
        "authorized_official_middle_name": "JOAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-224-9746",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL9627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "685393500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystal Rose, M.S., CCC-SLP
• Emma Catherine Rose
• Jill Rosemont, LCSW
• Seth David Rosen, MD
• Scott Randall Rosenberg, D.M.D.
• Meghan Best Rost, M.S., CCC-SLP
• Sharon Roth, LMHC
• Rachel Lynn Rouse, ARNP
• Camille Rousseau
• Magaly Rouzier, MD

• Assisted Living Facility in Port St Lucie, FL
• Providers in Port St 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 Jul 26, 2013; 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.