Organization Active NPI

Pondella Residential Care LLC

  • Assisted Living Facility
  • Cape Coral, FL
National Provider Identifier
1487123733
Registry record updated Nov 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 15, 2018

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)CodeLicenseStatePrimary
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.

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.

Verify at the official NPI Registry.