Active NPI
Pondella Residential Care LLC
- Assisted Living Facility
- Cape Coral, FL
National Provider Identifier
1487123733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- PONDELLA RESIDENTIAL CARE LLC
- Practice address
- 1923 NE 6TH St
Cape Coral, FL 33909-2271 - Phone
- (239) 242-0597
- NPI assigned
- Nov 15, 2018
- Organization subpart
- Yes
- Parent organization
- PONDELLA SERENITY COURT, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ilomise C Alexandre
- Title
- Adnmistrator
- Phone
- (239) 297-8839
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
1923 NE 6TH St
Cape Coral, FL 33909-2271
Mailing address
1923 NE 6TH St
Cape Coral, FL 33909-2271
Phone (239) 242-0597
National Provider Directory
National Provider Directory- Part of
- Pondella Serenity Court LLC
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Assisted Living Facility
- Cape Coral, FL
- NPI 1497811533
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542240000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1542240000000",
"number": "1487123733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1923 NE 6TH ST",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339092271",
"telephone_number": "239-242-0597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1923 NE 6TH ST",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339092271",
"telephone_number": "239-242-0597"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PONDELLA RESIDENTIAL CARE LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PONDELLA SERENITY COURT, LLC",
"enumeration_date": "2018-11-15",
"last_updated": "2018-11-15",
"status": "A",
"authorized_official_last_name": "ALEXANDRE",
"authorized_official_first_name": "ILOMISE",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "ADNMISTRATOR",
"authorized_official_telephone_number": "239-297-8839"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.