Organization Active NPI

Compass Rose of Lecanto, LLC

Doing business as Compass Rose of Lecanto

  • Assisted Living Facility
  • Lecanto, FL
National Provider Identifier
1851162945
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
COMPASS ROSE OF LECANTO, LLC
Doing business as
Compass Rose of Lecanto
Practice address
279 N Lecanto Hwy
Lecanto, FL 34461-9195
Phone
(352) 527-9720
NPI assigned
Jan 9, 2024
Last updated
Jan 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Authorized official

Name
Gina Queiros
Title
Ceo
Phone
(239) 406-3377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

279 N Lecanto Hwy
Lecanto, FL 34461-9195

Mailing address

621 Cape Coral Pkwy E Ste 2
Cape Coral, FL 33904-8590

Other names 1

  • Compass Rose of Lecanto Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2144385Compass Rose of Lecanto279 N Lecanto Hwy, Lecanto, FL 34461Certificate of waiverFeb 14, 2028

National Provider Directory

National Provider Directory

Locations

621 Cape Coral Pkwy E
Ste 2
Cape Coral, FL 33904

NPI Registry JSON

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

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1851162945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 CAPE CORAL PKWY E STE 2",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339048590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 N LECANTO HWY",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344619195",
            "telephone_number": "352-527-9720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS ROSE OF LECANTO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-09",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A",
        "authorized_official_last_name": "QUEIROS",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "239-406-3377"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Compass Rose of Lecanto",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lecanto, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.