PINEDALE GARDENS ASSISTED LIVING INC. (NPI# 1639705841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639705841 |
| Entity Type | Organization |
| Organization Name | PINEDALE GARDENS ASSISTED LIVING INC. |
| Practice Address |
1861 S Pinedale Rd Edgewater FL 32141-6901 |
| Practice Telephone | 3868478997 |
| Mailing Telephone | 3868478997 |
| Enumeration Date | 2020-03-19 |
| Last Update Date | 2020-03-19 |
| Authorized Official Name | JUAN TORRES (OWNER/ADMINISTRATOR) |
| Authorized Official Telephone | 3213680985 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Street Address |
1861 S PINEDALE RD |
| City | EDGEWATER |
| State | FL |
| Zip Code | 32141-6901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538648613 | Volusia Center for Surgical Excellence | Clinic/Center | 2568 S Ridgewood Ave Ste 4, Edgewater, FL 32141 | 2018-08-09 |
| 1174000277 | Kathryn Nicole Turner | Speech-Language Pathologist | 2425 Needle Palm Dr, Edgewater, FL 32141 | 2018-07-23 |
| 1710472451 | Caring Rx, LLC | Pharmacy | 21002 S Ridgewood Ave, Suite 2, Edgewater, FL 32141 | 2018-06-26 |
| 1356554240 | Rebecca Lynn Cicchetti | Physical Therapist | 2568 S Ridgewood, Suite 1, Edgewater, FL 32141 | 2007-05-07 |
| 1972675825 | James J Byrne | General Practice | 185 North Route 1, Oak Hill, FL 32141 | 2006-11-15 |
| 1093294662 | Evan Michael Criscio | Optometrist | 2568 S Ridgewood Ave Ste 4, Edgewater, FL 32141 | 2018-08-14 |
| 1871514240 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 1838 S Ridgewood Ave, Edgewater, FL 32141-3643 | 2006-07-21 |
| 1134519309 | Michelle Salkey | Pharmacist | 1838 S Ridgewood Ave, Edgewater, FL 32141-3643 | 2015-01-27 |
| 1912266560 | Joshua Budvarson | Contractor | 2129 Pine Tree Dr, Edgewater, FL 32141-3807 | 2012-05-15 |
| 1063052520 | Meghan Budvarson | Social Worker | 2129 Pine Tree Dr, Edgewater, FL 32141-3807 | 2020-01-13 |
| Find all providers in zip 32141 | ||||
| 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 |
|---|---|---|---|---|
| 1447716774 | Welltower Opco Group LLC | Assisted Living Facility | 351 River Rd, Edgewater, NJ 07020-1028 | 2019-02-12 |
| 1508296914 | Regency Elderly Care, Inc. | Assisted Living Facility | 1511 Mango Tree Dr, Edgewater, FL 32132-2607 | 2013-11-21 |
| 1033404926 | Marian's Manor Assisted Living | Assisted Living Facility | 27 Old South River Rd, Edgewater, MD 21037-1203 | 2011-06-18 |
| 1346492121 | Florida Shores Assisted Living Facility Inc. | Assisted Living Facility | 1229 Mango Tree Dr, Edgewater, FL 32132-2005 | 2008-10-11 |
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|---|---|---|---|---|
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| 1548861230 | Allure A&l Inc | Assisted Living Facility | 13692 Carlton St, Wellington, FL 33414-7748 | 2020-11-08 |
| 1982205787 | Pd & Sr, L.L.C. | Assisted Living Facility | 730 Frisco St Se, Palm Bay, FL 32909-3711 | 2020-11-06 |
| 1982205019 | Cantillo Love & Care LLC | Assisted Living Facility | 1045 W 23rd St, Hialeah, FL 33010-1922 | 2020-11-04 |
| 1194326728 | Bliss Life Residential Care | Assisted Living Facility | 402 Arthur Ave, Lehigh Acres, FL 33936-7412 | 2020-11-02 |
| 1811597404 | Huguette Mortimer Dupont | Assisted Living Facility | 1596 Sw Paar Dr, Port St Lucie, FL 34953-6159 | 2020-11-01 |
| 1750981841 | Senior Living Properties IIi, LLC | Assisted Living Facility | 3791 Old Canoe Creek Rd, Saint Cloud, FL 34769-6630 | 2020-10-28 |
| 1417556028 | 5081 Cambridge LLC | Assisted Living Facility | 5081 Nw Dunn Rd, Fort Pierce, FL 34981-4942 | 2020-10-23 |
| 1134728926 | Pacifica Lauderhill LLC | Assisted Living Facility | 5500 Nw 69th Ave, Lauderhill, FL 33319-7266 | 2020-10-22 |
| 1760081749 | Hsre-ahr Zephyrhills LLC | Assisted Living Facility | 38130 Pretty Pond Road, Zephyrhills, FL 33540 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
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| 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.