NPIMap

Organization Active NPI

Elohim Palliative Care Inc

  • Assisted Living Facility
  • Cocoa, FL
National Provider Identifier
1538857933
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
ELOHIM PALLIATIVE CARE INC
Practice address
747 Venus Dr
Cocoa, FL 32926-5370
Phone
(321) 458-0404
NPI assigned
Apr 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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

Authorized official

Name
Ms. Teneka Roshell Glasco, LPNNPI 1598453987
Title
Administrator
Phone
(321) 458-0404

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X
Assisted Living Facility 310400000X Primary
Inpatient Hospice 315D00000X

Addresses

Primary practice location

747 Venus Dr
Cocoa, FL 32926-5370

Mailing address

747 Venus Dr
Cocoa, FL 32926-5370
Phone (321) 458-0404

Other names 1

  • Elohim Palliatiave Care Inc Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1682380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682380800000",
    "number": "1538857933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 VENUS DR",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329265370",
            "telephone_number": "321-458-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 VENUS DR",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329265370",
            "telephone_number": "321-458-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELOHIM PALLIATIVE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-25",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A",
        "authorized_official_last_name": "GLASCO",
        "authorized_official_first_name": "TENEKA",
        "authorized_official_middle_name": "ROSHELL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "321-458-0404",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elohim Palliatiave Care Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cocoa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; 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.