Pelican Harbour Assisted Living Facility LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PELICAN HARBOUR ASSISTED LIVING FACILITY LLC

Practice address

819 Saint Michel Dr
Rockledge, FL 32955-4184

Phone

(321) 481-0800

NPI assigned

Mar 12, 2025

Organization subpart

No

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

Authorized official

Name

Constance Burrell

Title

Owner

Phone

(321) 481-0800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1741737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742774400000",
    "number": "1144029992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 SAINT MICHEL DR",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329554184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 SAINT MICHEL DR",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329554184",
            "telephone_number": "321-481-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELICAN HARBOUR ASSISTED LIVING FACILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-12",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A",
        "authorized_official_last_name": "BURRELL",
        "authorized_official_first_name": "CONSTANCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-481-0800"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawnna Lee Patterson, M.D., PH.D.
• Monet Johnson Payne, MA, CCC-SLP
• Krysta Pazos
• Pediatrics in Brevard, P.a.
• Pediatrics in Brevard, P.a.
• Pelican Harbour Assisted Living II LLC
• Katrina Lynne Pellegrini, PT
• Diana Pena-Stein
• Monica Ann Pena, M.D.
• Anthony John Perella, MD

• Assisted Living Facility in Rockledge, FL
• Providers in Rockledge, 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 Mar 24, 2025; 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.