Pinewood Estates Assisted Living Facility

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12678 Issued in FL

Legal business name

PINEWOOD ESTATES ASSISTED LIVING FACILITY

Doing business as

Pinewood Estates Assisted Living Community

Practice address

4055 Pinewood Rd
Melbourne, FL 32934-9053

Phone

(786) 376-4043

NPI assigned

Sep 15, 2015

Last updated

Sep 15, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

PINEWOOD ESTATES ASSISTED LIVING FACILITYAs reported in NPPES

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

Authorized official

Name

Mr. Peter D. Fellows

Title

Director

Phone

(786) 376-4043

Specialties & licenses 4

Addresses

Other names 1

• PINEWOOD ESTATES ASSISTED LIVING COMMUNITY Doing business as

Part of

Pinewood Estates Assisted Living Facility

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

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442275200000",
    "number": "1174992622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640902",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331640902",
            "telephone_number": "786-376-4043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 PINEWOOD RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329349053",
            "telephone_number": "786-376-4043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINEWOOD ESTATES ASSISTED LIVING FACILITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PINEWOOD ESTATES ASSISTED LIVING FACILITY",
        "enumeration_date": "2015-09-15",
        "last_updated": "2015-09-15",
        "status": "A",
        "authorized_official_last_name": "FELLOWS",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "786-376-4043",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12678",
            "primary": true
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "AL12678",
            "primary": false
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "FL",
            "license": "AL12678",
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "FL",
            "license": "AL12678",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PINEWOOD ESTATES ASSISTED LIVING COMMUNITY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Edeck S Pierre
• Allison Michelle Pierron, MSN, CNM, APRN
• Gianna Lynne Pietro
• Jamie Pietsch
• Johanna B Pillado, APRN, FNP-C
• Christina Pineyro, RBT
• Allison Pinkerton, RMHCI
• Pinnacle Eye Center Inc
• Paula Marie Pino, RN
• Mark F Pinsky, DO

• Assisted Living Facility in Melbourne, FL
• Providers in Melbourne, 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 Sep 15, 2015; 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.