PELICAN HAVEN,LLC (NPI# 1093022980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093022980 |
| Entity Type | Organization |
| Organization Name | PELICAN HAVEN,LLC |
| Practice Address |
4310 14th St Sw Lehigh Acres FL 33976-2731 |
| Practice Telephone | 2396747051 |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2010-09-13 |
| Authorized Official Name | YVONNE JULMEUS (DIRECTOR/OWNER) |
| Authorized Official Telephone | 2398720718 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171W00000X | Contractor | 001926400 | FL | Other Service Providers |
| Y | 251G00000X | Hospice Care, Community Based | 089390 | FL | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 001302600 | 05 | |
| FL | 001926400 | 05 | |
| FL | 001925800 | 05 |
| Street Address |
4310 14TH ST SW |
| City | LEHIGH ACRES |
| State | FL |
| Zip Code | 33976-2731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669997169 | Yanexis Portilla Cruz | Behavioral Analyst | 3010 50th St Sw, Lehigh Acres, FL 33976 | 2017-08-07 |
| 1396167342 | Aji Kannamala | Pharmacist | 1145 Homestead Rd, Lehigh Acres, Lehigh Acres, FL 33976 | 2014-01-10 |
| 1548606692 | M&l Adult Ffamily Care Home | Custodial Care Facility | 4001 8th Street S.w, Lehigh Acres, FL 33976 | 2013-05-16 |
| 1306369012 | Yvette A Sironel | Custodial Care Facility | 2806 42nd St Sw, Lehigh Acres, FL 33976 | 2017-07-25 |
| 1487189734 | Dayana Soto Vale | Behavior Technician | 1605 Hazel Ave S, Lehigh Acres, FL 33976 | 2017-04-25 |
| 1639672959 | Ketia Michel | Assistant Behavior Analyst | 4104 7th St Sw, Lehigh Acres, FL 33976-2110 | 2018-03-13 |
| 1639794365 | Gerline Die | Occupational Therapy Assistant | 4113 4th St Sw, Lehigh Acres, FL 33976-2131 | 2020-06-09 |
| 1366923328 | Susan Paulhamus | Nurse Practitioner | 3805 7th St Sw, Lehigh Acres, FL 33976-2228 | 2018-08-27 |
| 1336477041 | Roselaine Petit-frere | Nurse's Aide | 3007 11th Street S.w., Lehigh Acres, FL 33976-2529 | 2009-11-19 |
| 1669845889 | Sharlene Daley | Licensed Practical Nurse | 2811 2nd St Sw, Lehigh Acres, FL 33976-2548 | 2015-11-10 |
| Find all providers in zip 33976 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922284629 | Better Care Enterprises, Inc. | Hospice Care, Community Based | 1115 Thompson Ave, Lehigh Acres, FL 33972-3103 | 2008-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942800487 | Kita Corp | Hospice Care, Community Based | 5821 Mayo St, Miramar, FL 33023-2331 | 2020-10-26 |
| 1346854320 | Wilco Civil, D.o. Pllc | Hospice Care, Community Based | 18598 Milton Keynes Ct, Land O Lakes, FL 34638-2202 | 2020-09-07 |
| 1720691017 | Good Shepherd Hospice, Inc. | Hospice Care, Community Based | 11400 Overseas Hwy Ste 201, Marathon, FL 33050-3600 | 2020-08-26 |
| 1356953483 | Wellness Homecare LLC | Hospice Care, Community Based | 4320 Sunbeam Rd Apt 315, Jacksonville, FL 32257-8829 | 2020-08-19 |
| 1689282592 | Amzn Eco LLC | Hospice Care, Community Based | 5610 Fort Caroline Rd Ste 6, Jacksonville, FL 32277-1794 | 2020-07-16 |
| 1316564685 | All American Hospice, LLC | Hospice Care, Community Based | 1906 Skyline Blvd, Cape Coral, FL 33991-3388 | 2020-07-02 |
| 1871110858 | Continuum Care of Broward LLC | Hospice Care, Community Based | 7771 W Oakland Park Blvd Ste 150, Sunrise, FL 33351-6705 | 2020-06-25 |
| 1174150452 | Sls Caring Hands | Hospice Care, Community Based | 8767 Norfolk Blvd, Jacksonville, FL 32208-1915 | 2020-03-25 |
| 1437783453 | Onsite Dental Solutions | Hospice Care, Community Based | 11924 Forest Hill Blvd # 10b, Wellington, FL 33414-6256 | 2020-02-28 |
| 1831721786 | Tc Cares, LLC | Hospice Care, Community Based | 318 Irving Bend Dr, Groveland, FL 34736-8248 | 2020-02-09 |
| Find all providers with the same taxonomy | ||||
| City | LEHIGH ACRES |
| Zip Code | 33976 |
Please comment or provide details below to improve the information on PELICAN HAVEN,LLC.
| 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.