THE RETREAT AT ABINGDON (NPI# 1356640098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356640098 |
Entity Type | Organization |
Organization Name | THE RETREAT AT ABINGDON |
Other Organization Name | ABINGDON AT TRADITION |
Practice Address |
10685 Sw Stony Creek Way Port St Lucie FL 34987-2741 |
Practice Telephone | 7723452700 |
Practice Fax Number | 7723452701 |
Mailing Telephone | 7723452700 |
Mailing Fax Number | 7723452701 |
Enumeration Date | 2011-03-21 |
Last Update Date | 2011-03-21 |
Authorized Official Name | MS. KAREN FRANCIS (DIRECTOR OF HEALTHCARE ADMINISTRATI) |
Authorized Official Telephone | 7723452700 |
Authorized Official Credential | R.N. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 310400000X | Assisted Living Facility | 11967815 | FL | Nursing & Custodial Care Facilities |
Other Name | Type Code |
---|---|
Abingdon at Tradition | Doing Business As Name - Organization |
Street Address |
10685 SW STONY CREEK WAY |
City | PORT ST LUCIE |
State | FL |
Zip Code | 34987-2741 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346794682 | Erica Rodriguez-pena | Occupational Therapy Assistant | 10685 Sw Stony Creek Way, Port St Lucie, FL 34987-2741 | 2016-08-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093299604 | Karen Cecilia Wong Li James | Registered Nurse | 10024 Sw Glenbrook Drive, Port Saint Lucie, FL 34987 | 2018-09-19 |
1134646151 | B & T Diagnostics LLC | Clinical Medical Laboratory | 11350 Sw Village Pkwy Ste 323, Port Saint Lucie, FL 34987 | 2017-08-30 |
1538684048 | Transport With Care, LLC | Non-emergency Medical Transport (VAN) | 1850 Sw Our Ct, Port Saint Lucie, FL 34987 | 2017-08-04 |
1154859825 | True Path Diagnostics, LLC | Clinical Medical Laboratory | 11350 Sw Village Pkwy Ste 309, Port St Lucie, FL 34987 | 2017-05-25 |
1316326515 | Aleksey Alekseyenko | Family Medicine | Mhpg Primary Care @ Tradition Health Park II, 10080 Sw Innovation Way Suite 201, Port St Lucie, FL 34987 | 2015-05-21 |
1053658583 | Tameka Argo | Contractor | 7664 Germany Canal Road, Fort Pierce, FL 34987 | 2013-01-03 |
1780967976 | Mennette J Colon | Specialist/Technologist, Other | 1970 Sw Glendale St., Port Saint Lucie, FL 34987 | 2011-09-23 |
1366416257 | Cynthia A Dolan | Dermatology | 10080 Sw Innovation Way Ste 301, Port St Lucie, FL 34987 | 2006-02-15 |
1205829074 | Andres M Reyes | Internal Medicine | 10050 Nw Innovation Way, Suite 102, Port St Lucie, FL 34987 | 2005-08-26 |
1720498470 | Josue Limage | Family Medicine | 10080 Sw Innovation Way Ste 201, Port St Lucie, FL 34987 | 2014-05-03 |
Find all providers in zip 34987 |
Taxonomy Code | 310400000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Assisted Living Facility |
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. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811597404 | Huguette Mortimer Dupont | Assisted Living Facility | 1596 Sw Paar Dr, Port St Lucie, FL 34953-6159 | 2020-11-01 |
1952947228 | Savorah Alf II | Assisted Living Facility | 2369 Sw Fern Cir, Port St Lucie, FL 34953-2951 | 2019-11-21 |
1598224669 | Blessings Assisted Living | Assisted Living Facility | 2449 Sw Humber Ct, Port St Lucie, FL 34953-2133 | 2019-03-18 |
1427517762 | Springfield Gardens Group Home | Assisted Living Facility | 443 Sw Homeland Rd, Port St Lucie, FL 34953-6208 | 2019-03-17 |
1285104463 | Caring Assisted Living, LLC | Assisted Living Facility | 2588 Sw Grotto Cir, Port St Lucie, FL 34953-2926 | 2018-11-29 |
1760967590 | Angel of Light Assisted Living Facility, LLC | Assisted Living Facility | 613 Sw Homeland Rd, Port St Lucie, FL 34953-6263 | 2018-09-27 |
1386121333 | For His Glory Alf LLC. | Assisted Living Facility | 322 Sw South Quick Circle, Port St Lucie, FL 34953 | 2018-07-23 |
1033696232 | New Dimension Family Care Inc. | Assisted Living Facility | 849 Sw Hamberland Ave, Port St Lucie, FL 34953-5629 | 2018-07-20 |
1659857001 | Heavenly Adult Care LLC | Assisted Living Facility | 3934 Sw Kakopo St, Port St Lucie, FL 34953-3631 | 2018-07-18 |
1336635796 | Avalon Family Resort Assisted Living | Assisted Living Facility | 160 Sw Saratoga Ave, Port St Lucie, FL 34953-5977 | 2018-07-09 |
Find all providers in PORT ST LUCIE |
City | PORT ST LUCIE |
Zip Code | 34987 |
Please comment or provide details below to improve the information on THE RETREAT AT ABINGDON.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.