Pelican Health Norfolk LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PELICAN HEALTH NORFOLK LLC

Practice address

827 Norview Ave
Norfolk, VA 23509-1540

Phone

(757) 853-6281

NPI assigned

Nov 12, 2019

Last updated

Nov 12, 2019By 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

Batya Gorelick

Title

VP of Admin Services

Phone

(757) 853-6281

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573516800000",
    "number": "1316582554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 SYLVAN AVE STE 240",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 NORVIEW AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235091540",
            "telephone_number": "757-853-6281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELICAN HEALTH NORFOLK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-12",
        "last_updated": "2019-11-12",
        "status": "A",
        "authorized_official_last_name": "GORELICK",
        "authorized_official_first_name": "BATYA",
        "authorized_official_title_or_position": "VP OF ADMIN SERVICES",
        "authorized_official_telephone_number": "757-853-6281"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Noelle Peeples, DDS
• Pegram & Cornetta P L C (Ghent Eye Care)
• Linda D Pegram, M.D.
• Roxanne Pegram, CRNA
• Hollis Pei
• Caitlin Pellant, CRNP
• Cailyn Aliya Singh Pellegrino
• Anthony R. Peluso, DDS
• Maria Tina Penalosa, PAC
• Shaney Marie Penberthy, NP

• Skilled Nursing Facility in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Skilled Nursing Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; 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.