Pbaj Enterprises, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

231752 Issued in FL

Legal business name

PBAJ ENTERPRISES, INC.

Doing business as

ComForcare Senior Services - Northern Lee County

Practice address

1406 SE 46TH LN
Suite 6
Cape Coral, FL 33904-8684

Phone

(239) 471-7920

Fax

(239) 471-7914

NPI assigned

Jun 17, 2010

Last updated

Jun 17, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Barry Connor

Title

President

Phone

(239) 333-9883

Specialties & licenses 1

Addresses

Other names 1

• ComForcare Senior Services - Northern Lee County Doing business as

Locations

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276732800000",
    "number": "1235450875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 SE 29TH TER",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339043527",
            "telephone_number": "239-458-9423",
            "fax_number": "239-471-7914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 SE 46TH LN",
            "address_2": "SUITE 6",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339048684",
            "telephone_number": "239-471-7920",
            "fax_number": "239-471-7914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PBAJ ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-17",
        "last_updated": "2010-06-17",
        "status": "A",
        "authorized_official_last_name": "CONNOR",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-333-9883",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "231752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ComForcare Senior Services - Northern Lee County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yeily Paz Gutierrez
• Ivo Paz Nunez, RBT-24-336589
• Daniela Paz Sosa
• Yolany Sarai Paz
• Nayadys Pazo
• Derek Owen Pearson, PHARMD
• Dina Belachew Pearson, MD
• Adriana Peat, PHARMD
• Pediatric Dentistry of Cape Coral
• Pediatrix Medical Group of Florida Inc

• Home Health Agency in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; 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.