Hammock Manor Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL11611 Issued in FL

Legal business name

HAMMOCK MANOR INC.

Practice address

3366 Peninsula Cir
Melbourne, FL 32940-1107

Phone

(321) 626-6672

NPI assigned

Mar 29, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Charles John Georges

Title

Manager

Phone

(321) 626-6672

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1364515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364515200000",
    "number": "1215270194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3366 PENINSULA CIR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329401107",
            "telephone_number": "321-626-6672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3366 PENINSULA CIR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329401107",
            "telephone_number": "321-626-6672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMMOCK MANOR INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-29",
        "last_updated": "2013-03-29",
        "status": "A",
        "authorized_official_last_name": "GEORGES",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "321-626-6672",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aliyah Hamirani, PT
• April Hamlin
• Brandi Jean Hamlin, LMHC
• Habib Hammana
• Susan Hammerling-Hodgers, PA-C, MPAS, DFAAPA
• Kaitlyn Hammock, DPM
• Raina Nicole Hammond, OTR/L MS
• Tinauquince D Hammond
• Mohamad Hammoud, D.O.
• Stacie Lee Hammoud, APRN

• 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 Mar 29, 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.