PELICAN GARDEN ALF (NPI# 1942260591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942260591 |
| Entity Type | Organization |
| Organization Name | PELICAN GARDEN ALF |
| Other Organization Name | ASSISTED LIVING FACILITY |
| Practice Address |
177 Empress Ave Sebastian FL 32958 |
| Mailing Address |
177 Empress Avenue Sebastian FL 32958 |
| Practice Telephone | 7723884730 |
| Practice Fax Number | 7723883502 |
| Mailing Telephone | 7723884730 |
| Mailing Fax Number | 7723883502 |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DONALD WRIGHT (OWNER) |
| Authorized Official Telephone | 7723884730 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | AL10510 | FL | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Assisted Living Facility | Other Name - Individual/Organization |
| Street Address |
177 EMPRESS AVE |
| City | SEBASTIAN |
| State | FL |
| Zip Code | 32958 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900714 | Maurice Vondell Wilson | Pharmacist | 7746 Bay Street, Sebastian, FL 32958 | 2020-10-22 |
| 1003426792 | Riverview Family Dental, Pa | Dentist | 1511 Us Highway 1, Suite 201, Sebastian, FL 32958 | 2020-08-06 |
| 1578102257 | Jessica Patrice Squiabro Pierce | Nurse Practitioner | 7765 144th St #4, Sebastian, FL 32958 | 2019-12-30 |
| 1952951949 | Renee Brothers | Occupational Therapist | Pelican Landing 13085 U.S. 1, Sebastian, FL 32958 | 2019-09-12 |
| 1457909681 | Tania M Schmitfranz | Physical Therapist | 1155 35h Lane, Suite 100, Vero Beach, FL 32958 | 2019-08-30 |
| 1255803649 | Christine A Festa | Family Medicine | 14060 Us Highway 1, Sebastian, FL 32958 | 2018-12-22 |
| 1639662174 | Wei Yin Vuong | Dentist | 1451 Sebastian Blvd Ste 180, Sebastian, FL 32958 | 2018-06-10 |
| 1194229724 | Courtney Carroll Frazier | Nurse Practitioner | 1627 Us Highway 1 Ste 207, Sebastian, FL 32958 | 2018-03-20 |
| 1386168771 | Main Street Counseling | Social Worker | 1069- Main Street, Ste 216, Sebastian, FL 32958 | 2017-07-28 |
| 1538516844 | Lynn Borlas | Speech-Language Pathologist | 1140 7th Court, Vero Beach, FL 32958 | 2016-05-17 |
| Find all providers in zip 32958 | ||||
| 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 |
|---|---|---|---|---|
| 1457778540 | Nomels Assisted Livings Facilities | Assisted Living Facility | 332 Biscayne Ln, Sebastian, FL 32958-5551 | 2014-03-26 |
| 1962835512 | Vetas We Care LLC | Assisted Living Facility | 510 Sebastian Crossings Blvd, Sebastian, FL 32958-6497 | 2013-08-19 |
| 1770978009 | Evelyn Barton | Assisted Living Facility | 124 Bellamy Trl, Sebastian, FL 32958-6483 | 2015-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275372 | Loving Family Senior Care, LLC | Assisted Living Facility | 2323 Nw 34th St, Miami, FL 33142-5307 | 2020-11-08 |
| 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.