OrganizationActive
Rosewell Home and Residential Care, LLC
NPI 1760852552 · Assisted Living Facility · Port Saint Lucie, FL
Provider details
- NPI number
- 1760852552
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Icylin Douglas, Administrator(772) 777-4463
- License
- AL12708 (FL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3366 Sw Vendome St
Port Saint Lucie, FL 34953-3407
Phone: (772) 777-4463
Fax: (772) 673-6203
Street-level locationGet directions
Mailing address
3366 Sw Vendome St
Port Saint Lucie, FL 34953-3407
Registry dates
- Enumerated
- 2015-10-06
- Last updated
- 2015-10-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.