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ROSEWELL HOME AND RESIDENTIAL CARE, LLC
NPI 1760852552
Assisted Living Facility in Port Saint Lucie, FL

Active since October 06, 2015
3366 SW VENDOME ST, PORT SAINT LUCIE, FL 34953(772) 777-4463(772) 673-6203 Get Directions Write a Review

NPPES record last updated: October 6, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rosewell Home And Residential Care, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROSEWELL HOME AND RESIDENTIAL CARE, LLC (NPI 1760852552) is a healthcare organization registered as an assisted living facility in Port Saint Lucie, Florida and active in the NPI registry since October 2015. The organization lists Icylin Douglas, Administrator, as its authorized official.

NPPES Registry Identity

NPI1760852552
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameROSEWELL HOME AND RESIDENTIAL CARE, LLC
Location Address3366 SW VENDOME STPort Saint Lucie, FL 34953-3407
Mailing Address3366 Sw Vendome StPort Saint Lucie, FL 34953-3407 · (772) 777-4463 · Fax (772) 673-6203
Phone(772) 777-4463
Fax(772) 673-6203
Organization SubpartNo
Authorized OfficialIcylin DouglasAdministrator · (772) 777-4463
Enumeration DateOctober 6, 2015
✔ NPI 1760852552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in FL · AL12708
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
3366 SW VENDOME ST, Port Saint Lucie, FL 34953
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rosewell Home And Residential Care, LLC's NPI number?

The NPI number for Rosewell Home And Residential Care, LLC is 1760852552. It was assigned to this organization in the NPPES registry on October 6, 2015.

Where is Rosewell Home And Residential Care, LLC located?

Rosewell Home And Residential Care, LLC is located at 3366 SW Vendome St, Port Saint Lucie, FL 34953. The listed phone number is (772) 777-4463.

What is Rosewell Home And Residential Care, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Rosewell Home And Residential Care, LLC was last updated on October 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.