Hernando Enterprise,Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL10113 Issued in FL

Legal business name

HERNANDO ENTERPRISE,INC.

Doing business as

Pleasant Grove Manor ALF

Practice address

300 71St St Ste 400
Miami Beach, FL 33141-3092

Phone

(305) 868-1830

Fax

(305) 868-2304

NPI assigned

May 3, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Polly Sheppard

Title

Administrator

Phone

(352) 726-2555

Specialties & licenses 1

Addresses

Other names 1

• Pleasant Grove Manor ALF Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1367539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367539200000",
    "number": "1043655079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 S PLEASANT GROVE RD",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344528385",
            "telephone_number": "352-726-2555",
            "fax_number": "352-726-7011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 71ST ST STE 400",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331413092",
            "telephone_number": "305-868-1830",
            "fax_number": "305-868-2304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERNANDO ENTERPRISE,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-03",
        "last_updated": "2013-05-03",
        "status": "A",
        "authorized_official_last_name": "SHEPPARD",
        "authorized_official_first_name": "POLLY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "352-726-2555",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pleasant Grove Manor ALF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Felix J Hernandez, MD
• Georgia Hernandez, D.M.D.
• Leyla Hernandez
• Richard Rene Hernandez
• Stefanie Hernandez, PA-C
• Patricia Herrand, NP
• Maricely Herrera Campos
• Sheila Herrera Gonzalez
• Deborah Herrera
• Elias M Herschmann, M.D.

• Assisted Living Facility in Miami Beach, FL
• Providers in Miami Beach, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.