Pelican Home Care,LLC

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Legal business name

PELICAN HOME CARE,LLC

Practice address

2733 Oak Ridge CT Ste 103
Fort Myers, FL 33901-9357

Phone

(239) 424-9137

NPI assigned

Sep 14, 2010

Organization subpart

No

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

Authorized official

Name

Yvonne Julmeus

Title

Director

Phone

(239) 424-9137

Specialties & licenses 8

Addresses

Other identifiers 2

Tax ID family

Pelican Home Carellc2 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.

• Pelican Home Care,LLC

  • Home Health Agency
  • Fort Myers, FL
  • NPI 1083996276
  NPD tax ID

Locations

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525132800000",
    "number": "1508174483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2733 OAK RIDGE CT",
            "address_2": "SUITE 103",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2733 OAK RIDGE CT STE 103",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019357",
            "telephone_number": "239-424-9137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELICAN HOME CARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-14",
        "last_updated": "2018-05-01",
        "status": "A",
        "authorized_official_last_name": "JULMEUS",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "239-424-9137"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "FL",
            "license": "001926400",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299994666",
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "FL",
            "license": "299994666",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "299994666",
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "FL",
            "license": "299994666",
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "FL",
            "license": "299994666",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001926400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002327600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Renee Peet, CNM
• Pelaez & Beyond Professional Corp
• Leslie Mariam Pelaez Sosa
• Sheryl Jose Pelayo, P.T.
• Pelican Home Care,LLC
• Christian Pelotte
• Anthony Michael Peluso III
• Madison Anne Peluso, PH.D., LMHC, MCAP
• Daniel E Pena Alambarrio
• Santiago Hamlet Pena Baez, M.D.

• Community Health Worker in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Community Health Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.