The Colonnades Group Home, Inc

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

THE COLONNADES GROUP HOME, INC

Practice address

1962 SW McAllister LN
Port St Lucie, FL 34953-2063

Phone

(561) 541-1604

Fax

(772) 204-2341

NPI assigned

May 12, 2009

Organization subpart

No

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

Authorized official

Name

Jackie M Strother, LPN

Title

Administrator

Phone

(561) 541-1604

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1242086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242086400000",
    "number": "1881828424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1962 SW MCALLISTER LN",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349532063",
            "telephone_number": "561-541-1604",
            "fax_number": "772-204-2341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1962 SW MCALLISTER LN",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349532063",
            "telephone_number": "561-541-1604",
            "fax_number": "772-204-2341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COLONNADES GROUP HOME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-12",
        "last_updated": "2009-05-12",
        "status": "A",
        "authorized_official_last_name": "STROTHER",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "561-541-1604",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Testa, ARNP
• Kamla Thakor-Rice
• The ABA Loft
• The Access Couture, PLLC
• The Calminground LLC
• The Doctors Shoe Store
• The Gift House, Inc
• The Gift of Recovery, LLC
• The House of Cares Inc
• The Inner Truth Project

• Adult Care Home Facility in Port St Lucie, FL
• Providers in Port St Lucie, 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 May 12, 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.