Organization Active NPI

Palm Cottage Operator, LLC

  • Assisted Living Facility
  • Rockledge, FL
National Provider Identifier
1255699468
Registry record updated Apr 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL9987 Issued in FL
Legal business name
PALM COTTAGE OPERATOR, LLC
Doing business as
Palm Cottages
Practice address
3821 Sunnyside CT
Rockledge, FL 32955-5100
Phone
(321) 633-1819
Fax
(321) 639-7328
NPI assigned
Apr 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2012

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

Authorized official

Name
Mr. James T Hands
Title
Owner/Manager
Phone
(214) 704-4722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL9987 FL Primary

Addresses

Primary practice location

3821 Sunnyside CT
Rockledge, FL 32955-5100

Mailing address

3821 Sunnyside CT
Rockledge, FL 32955-5100
Phone (321) 633-1819

Other names 1

  • Palm Cottages Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0986908Palm Cottage Operator LLC3821 Sunnyside CT, Rockledge, FL 32955Certificate of waiverMay 23, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335312000000",
    "number": "1255699468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3821 SUNNYSIDE CT",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329555100",
            "telephone_number": "321-633-1819",
            "fax_number": "321-639-7328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3821 SUNNYSIDE CT",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329555100",
            "telephone_number": "321-633-1819",
            "fax_number": "321-639-7328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM COTTAGE OPERATOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-25",
        "last_updated": "2012-04-25",
        "status": "A",
        "authorized_official_last_name": "HANDS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "214-704-4722",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL9987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palm Cottages",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockledge, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.