Independent US Healthcare Provider Directory & Public Medical Database
🏥
Active NPI 1205309002 Organization (Entity Type 2)

Stuart Al Operator Llc

Assisted Living Facility • Stuart, FL

About Stuart Al Operator Llc NPI 1205309002 Summary

Stuart Al Operator Llc is a verified healthcare organization specializing in Assisted Living Facility operating in Stuart, FL. Located at 4900 SE WILLOUGHBY BLVD, this facility provides patient care and medical services under National Provider Identifier (NPI) 1205309002.

Administrative operations and authorized compliance are overseen by Kisha-Gay Johnson (Revenue Accounting Manager).

The facility is associated with 3 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

4900 Se Willoughby Blvd

Stuart, FL 349974002

Telephone 4104272669

Authorized Official Information

Authorized Contact Name

Kisha-Gay Johnson

Title / Role

Revenue Accounting Manager

Official Telephone

4104272669

Facility Classifications & Specialties

Assisted Living Facility Primary Taxonomy

NUCC Taxonomy Code: 310400000X

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.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

3 Linked

Physical Therapy Assistant

Stuart, FL

View Practitioner Profile →
Peter Behnke NPI 1447027099

Physical Therapist - Orthopedic

Stuart, FL

View Practitioner Profile →

Physical Therapist

Stuart, FL

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active January 04, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location January 04, 2019

Registered at 4900 SE WILLOUGHBY BLVD, STUART, FL 349974002 (Tel: 4104272669)

📍
Updated Business Mailing Address January 04, 2019

Registered at 1416 CLARKVIEW RD, BALTIMORE, MD 212092183

🏛️
Organization / Clinic Name Updated January 04, 2019

Operating as STUART AL OPERATOR LLC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 04, 2019

Assisted Living Facility

🟢
Initial NPI Registration & Enumeration January 04, 2019

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

0 Reviews
No reviews submitted yet for Stuart Al Operator Llc. Be the first to share your experience with this healthcare facility!
Have you visited Stuart Al Operator Llc? Sign in to your TRUE-MEDINFO account to submit a rating and review.
Sign In to Write a Review →

NPI Organization Metadata

NPI Number: 1205309002
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: January 04, 2019
Last Update: January 04, 2019

Mailing Address

1416 Clarkview Rd

Baltimore, MD 212092183

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.