St. Charles Wellness Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ST. CHARLES WELLNESS CENTER

Doing business as

St. Charles Wellness Center LLC

Practice address

311 NE 8TH St Ste 109
Homestead, FL 33030-4734

Phone

(305) 363-5573

Fax

(786) 622-1893

NPI assigned

May 31, 2022

Organization subpart

No

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

Authorized official

Name

Rosita Atilus, DNP, APRN, FNP-BCNPI 1447596283

Title

Provider

Phone

(786) 259-2966

Specialties & licenses 3

Addresses

Other names 1

• ST. CHARLES WELLNESS CENTER LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26816/brand/1/csg/1/fhir/r4

Practitioners 1

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

• Rosita Atilus, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Homestead, FL
  • NPI 1447596283
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657843200000",
    "number": "1932848801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 NE 8TH ST STE 109",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304734",
            "telephone_number": "305-363-5573",
            "fax_number": "786-622-1893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 NE 8TH ST STE 109",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304734",
            "telephone_number": "305-363-5573",
            "fax_number": "786-622-1893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. CHARLES WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A",
        "authorized_official_last_name": "ATILUS",
        "authorized_official_first_name": "ROSITA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "786-259-2966",
        "authorized_official_credential": "DNP, APRN, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST. CHARLES WELLNESS CENTER LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• SS Medical Services Corp
• SS Medical Services, Corp
• Ssa Services Inc (The Tooth Place)
• Saradgy St Germain, APRN
• St. Charles Health & Wellness, Inc.
• Stable Behaviors, LLC
• Stairs to Hope LLC
• Anthony Stanley, MD
• Star Speech Services LLC
• Sebastian Stark

• Family Medicine Physician in Homestead, FL
• Providers in Homestead, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.