Organization Active NPI

Pleasant Home Inc

  • Adult Mental Health Clinic/Center
  • Palm Bay, FL
National Provider Identifier
1558663799
Registry record updated Nov 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
AL7646 Issued in FL
Legal business name
PLEASANT HOME INC
Practice address
485 Wayland Rd SW
Palm Bay, FL 32908-3412
Phone
(321) 984-8688
Fax
(321) 953-4515
NPI assigned
Nov 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2010

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

Authorized official

Name
Miss Ruth Elizabeth Somerville, C.N.A
Title
Administrator
Phone
(321) 984-8688

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X AL7646 FL Primary

Addresses

Primary practice location

485 Wayland Rd SW
Palm Bay, FL 32908-3412

Mailing address

485 Wayland Rd SW
Palm Bay, FL 32908-3412
Phone (321) 984-8688

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1290124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290124800000",
    "number": "1558663799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 WAYLAND RD SW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329083412",
            "telephone_number": "321-984-8688",
            "fax_number": "321-953-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 WAYLAND RD SW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329083412",
            "telephone_number": "321-984-8688",
            "fax_number": "321-953-4515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANT HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-19",
        "last_updated": "2010-11-19",
        "status": "A",
        "authorized_official_last_name": "SOMERVILLE",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "321-984-8688",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "C.N.A"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "FL",
            "license": "AL7646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2010; 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.