NPIMap

Organization Active NPI

Pembrook Place Alf, Inc.

  • Assisted Living Facility
  • Clearwater, FL
National Provider Identifier
1396912523
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL5933 Issued in FL
Legal business name
PEMBROOK PLACE ALF, INC.
Practice address
2331 Pembrook Dr
Clearwater, FL 33764-6548
Phone
(727) 536-5865
NPI assigned
May 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2008

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

Authorized official

Name
Estrella Monteclaro
Title
President
Phone
(727) 536-5865

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL5933 FL Primary

Addresses

Primary practice location

2331 Pembrook Dr
Clearwater, FL 33764-6548

Mailing address

2331 Pembrook Dr
Clearwater, FL 33764-6548
Phone (727) 536-5865

National Provider Directory

National Provider Directory
Tax ID family
Pembrook Place Alf Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1396912523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2331 PEMBROOK DR",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337646548",
            "telephone_number": "727-536-5865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2331 PEMBROOK DR",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337646548",
            "telephone_number": "727-536-5865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEMBROOK PLACE ALF, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-16",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "MONTECLARO",
        "authorized_official_first_name": "ESTRELLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-536-5865"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL5933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.