Pembrook Place Alf Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ALF LEVEL 2 #AL7581 Issued in FL

Legal business name

PEMBROOK PLACE ALF INC.

Practice address

2331 Pembrook Dr.
Clearwater, FL 33764

Phone

(727) 536-5865

Fax

(727) 539-1484

NPI assigned

Jan 20, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Estrella Labios Monteclaro, R.N.

Title

President

Phone

(727) 536-5865

Specialties & licenses 1

Addresses

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.

• Pembrook Place Alf, Inc.

  • Assisted Living Facility
  • Clearwater, FL
  • NPI 1396912523
  NPD tax ID

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263945600000",
    "number": "1477884104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2331 PEMBROOK DR.",
            "address_2": "PEMBROOK PLACE ALF INC.",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33764",
            "telephone_number": "727-536-5865",
            "fax_number": "727-539-1484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2331 PEMBROOK DR.",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33764",
            "telephone_number": "727-536-5865",
            "fax_number": "727-539-1484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEMBROOK PLACE ALF INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-20",
        "last_updated": "2010-01-20",
        "status": "A",
        "authorized_official_last_name": "MONTECLARO",
        "authorized_official_first_name": "ESTRELLA",
        "authorized_official_middle_name": "LABIOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-536-5865",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "ALF LEVEL 2 #AL7581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Marie Pelletier, LMT
• Kenneth B Peluso, D.C.
• Kristina Pelzel, PTA
• Pembrook Place 2 Inc
• Pembrook Place 2, Inc.
• Pembrook Place Alf, Inc.
• Edgar Pena, PTA
• Alyssa Penne
• Tamara Pennywell
• Brielle Penrose

• Assisted Living Facility in Clearwater, FL
• Providers in Clearwater, 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 Jan 20, 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.