Pondella Serenity Court, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL10725 Issued in FL

Legal business name

PONDELLA SERENITY COURT, LLC

Practice address

1923 NE 6TH St
Cape Coral, FL 33909-2271

Phone

(239) 242-0597

Fax

(239) 458-5595

NPI assigned

Dec 30, 2006

Organization subpart

No

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

Authorized official

Name

Marcial / Or Yolette Osselin

Title

Accountant

Phone

(239) 242-0597

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Pondella Residential Care LLC

  • Assisted Living Facility
  • Cape Coral, FL
  • NPI 1487123733
  NPPES parent name

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

{
    "created_epoch": "1167436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289433600000",
    "number": "1497811533",
    "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",
            "fax_number": "239-458-5595"
        },
        {
            "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",
            "fax_number": "239-458-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONDELLA SERENITY COURT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-30",
        "last_updated": "2010-11-11",
        "status": "A",
        "authorized_official_last_name": "OSSELIN",
        "authorized_official_first_name": "MARCIAL / OR YOLETTE",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "239-242-0597"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Lynn Polanco
• Caren M Polk, D.C.
• Kimberly Jo Pollard, PHARM.D.
• Yacquelin Ponce Alberto
• Pondella Residential Care LLC
• Asneidi Poole, RBT
• Port Charlotte HBP Services LLC
• Port Charlotte HBP Services LLC
• Geily Portal Betancourt
• Elizabeth Portal-Perez

• Assisted Living Facility in Cape Coral, FL
• Providers in Cape Coral, 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 Nov 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.