NPIMap

Organization Active NPI

Pelican Home Care,LLC

  • Home Health Agency
  • Fort Myers, FL
National Provider Identifier
1083996276
Registry record updated Sep 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PELICAN HOME CARE,LLC
Practice address
2733 Oak Ridge CT
Suite 103
Fort Myers, FL 33901-9357
Phone
(239) 424-9137
NPI assigned
Sep 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2011

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

Authorized official

Name
Yvonne Julmeus, MS
Title
Director
Phone
(239) 424-9137

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
InterpreterGroup: 193400000X SINGLE SPECIALTY GROUP 171R00000X
Home Health Agency 251E00000X Primary
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X

Addresses

Primary practice location

2733 Oak Ridge CT
Suite 103
Fort Myers, FL 33901-9357

Mailing address

2733 Oak Ridge CT
Suite 103
Fort Myers, FL 33901-9357

Other identifiers 1

IdentifierTypeStateIssuer
002327600MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Pelican Home Carellc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315872000000",
    "number": "1083996276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2733 OAK RIDGE CT",
            "address_2": "SUITE 103",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2733 OAK RIDGE CT",
            "address_2": "SUITE 103",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019357",
            "telephone_number": "239-424-9137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELICAN HOME CARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-13",
        "last_updated": "2011-09-13",
        "status": "A",
        "authorized_official_last_name": "JULMEUS",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "239-424-9137",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "171R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Interpreter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002327600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; 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.