Intimate Care Assisted Living Experience LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

INTIMATE CARE ASSISTED LIVING EXPERIENCE LLC

Practice address

5327 NW Conley Dr
Port Saint Lucie, FL 34986-4011

Phone

(914) 439-2205

Fax

(860) 799-6660

NPI assigned

Oct 2, 2023

Organization subpart

No

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

Authorized official

Name

Arlene Halstead, APRNNPI 1821220187

Title

Owner

Phone

(914) 439-2205

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Arlene Halstead, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Rye Brook, NY
  • NPI 1821220187
  NPD Authorized official

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1841070554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 STEPHANIE DR",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067762623",
            "telephone_number": "914-439-2205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5327 NW CONLEY DR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349864011",
            "telephone_number": "914-439-2205",
            "fax_number": "860-799-6660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTIMATE CARE ASSISTED LIVING EXPERIENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-09-30",
        "status": "A",
        "authorized_official_last_name": "HALSTEAD",
        "authorized_official_first_name": "ARLENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-439-2205",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Angelica Italiano, DO
• Lavetta S Ivey

• All providers in Port Saint Lucie, FL
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.