Organization Active NPI

Jem'Stender Heart Care Inc

Doing business as Pleasantville ALF

  • Assisted Living Facility
  • Mount Dora, FL
National Provider Identifier
1639512502
Registry record updated Apr 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL7968 Issued in FL
Legal business name
JEM'STENDER HEART CARE INC
Doing business as
Pleasantville ALF
Practice address
609 Oak Ave
Mount Dora, FL 32757-6039
Phone
(352) 383-3140
Fax
(352) 383-3170
NPI assigned
Apr 10, 2013
Last updated
Apr 10, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2013

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

Authorized official

Name
Marilou R Ocampo
Title
Administrator
Phone
(352) 383-3140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL7968 FL Primary

Addresses

Primary practice location

609 Oak Ave
Mount Dora, FL 32757-6039

Mailing address

609 Oak Ave
Mount Dora, FL 32757
Phone (352) 383-3140

Other names 1

  • Pleasantville ALF Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1365552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365552000000",
    "number": "1639512502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 OAK AVE",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "32757",
            "telephone_number": "352-383-3140",
            "fax_number": "352-383-3170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 OAK AVE",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327576039",
            "telephone_number": "352-383-3140",
            "fax_number": "352-383-3170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEM'STENDER HEART CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-10",
        "last_updated": "2013-04-10",
        "status": "A",
        "authorized_official_last_name": "OCAMPO",
        "authorized_official_first_name": "MARILOU",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "352-383-3140"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL7968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pleasantville ALF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Dora, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; 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.