Pinedale Gardens Assisted Living Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PINEDALE GARDENS ASSISTED LIVING INC.

Practice address

1861 S Pinedale Rd
Edgewater, FL 32141-6901

Phone

(386) 847-8997

NPI assigned

Mar 19, 2020

Last updated

Mar 19, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Juan Torres

Title

Owner/Administrator

Phone

(321) 368-0985

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1584576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584576000000",
    "number": "1639705841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1861 S PINEDALE RD",
            "city": "EDGEWATER",
            "state": "FL",
            "postal_code": "321416901",
            "telephone_number": "386-847-8997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1861 S PINEDALE RD",
            "city": "EDGEWATER",
            "state": "FL",
            "postal_code": "321416901",
            "telephone_number": "386-847-8997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINEDALE GARDENS ASSISTED LIVING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-19",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "321-368-0985"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeannine Parisi
• John M Parisi, RN
• Xymena Olene Partelow, MA CCC-SLP
• Carissa Peterson, ARNP
• Trisha S Peterson, RSWI
• Victoria Plechac-Diaz, LCSW
• John G Ponder
• Jamie Ponti, APRN
• Roger Prieto, DDS
• Proactive Nutrition & Wellness Inc

• Assisted Living Facility in Edgewater, FL
• Providers in Edgewater, 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 Mar 19, 2020; 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.