Pelican Harbour Assisted Living II LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PELICAN HARBOUR ASSISTED LIVING II LLC

Practice address

1115 Santa Rosa Dr
Rockledge, FL 32955-2117

Phone

(321) 481-0800

Fax

(321) 481-0800

NPI assigned

Dec 8, 2025

Organization subpart

No

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

Authorized official

Name

Constance Coles

Title

Owner/Administrator

Phone

(321) 481-0800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1765152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765152000000",
    "number": "1598628331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 SANTA ROSA DR",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552117",
            "telephone_number": "321-481-0800",
            "fax_number": "321-481-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 SANTA ROSA DR",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552117",
            "telephone_number": "321-481-0800",
            "fax_number": "321-481-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELICAN HARBOUR ASSISTED LIVING II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-08",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A",
        "authorized_official_last_name": "COLES",
        "authorized_official_first_name": "CONSTANCE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "321-481-0800"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monet Johnson Payne, MA, CCC-SLP
• Krysta Pazos
• Pediatrics in Brevard, P.a.
• Pediatrics in Brevard, P.a.
• Pelican Harbour Assisted Living Facility LLC
• Katrina Lynne Pellegrini, PT
• Diana Pena-Stein
• Monica Ann Pena, M.D.
• Anthony John Perella, MD
• Alicia Perez

• Assisted Living Facility in Rockledge, FL
• Providers in Rockledge, 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 Dec 8, 2025; 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.