Pembrook Place 2 Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PEMBROOK PLACE 2 INC

Practice address

1623 Robinhood LN
Clearwater, FL 33764-6447

Phone

(727) 539-6872

NPI assigned

Nov 5, 2012

Organization subpart

No

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

Authorized official

Name

Estrella Monteclaro

Title

Administrator

Phone

(727) 432-0049

Specialties & licenses 1

Addresses

Tax ID family

Pembrook Place 2 Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pembrook Place 2, Inc.

  • Assisted Living Facility
  • Clearwater, FL
  • NPI 1831515345
  NPD tax ID

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

{
    "created_epoch": "1352073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352073600000",
    "number": "1841544319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1623 ROBINHOOD LN",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337646447",
            "telephone_number": "727-539-6872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1623 ROBINHOOD LN",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337646447",
            "telephone_number": "727-539-6872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEMBROOK PLACE 2 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-05",
        "last_updated": "2012-11-05",
        "status": "A",
        "authorized_official_last_name": "MONTECLARO",
        "authorized_official_first_name": "ESTRELLA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "727-432-0049"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachelle Mae Peklinsky, FNP-BC
• Vianey S. Pelaez, LCSW
• Susan Marie Pelletier, LMT
• Kenneth B Peluso, D.C.
• Kristina Pelzel, PTA
• Pembrook Place 2, Inc.
• Pembrook Place Alf Inc.
• Pembrook Place Alf, Inc.
• Edgar Pena, PTA
• Alyssa Penne

• Assisted Living Facility in Clearwater, FL
• Providers in Clearwater, 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 Nov 5, 2012; 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.