Jeroll Care Assisted Living Facility of Melbourne, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

JEROLL CARE ASSISTED LIVING FACILITY OF MELBOURNE, LLC

Practice address

2204 Parsons Ave
Melbourne, FL 32901-5234

Phone

(321) 266-5166

NPI assigned

Mar 30, 2020

Last updated

Mar 30, 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

Mrs. Jhoane Laleau

Title

Administrator

Phone

(321) 266-5166

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585526400000",
    "number": "1841828381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 COFFEE ST SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329098561",
            "telephone_number": "321-266-5166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 PARSONS AVE",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329015234",
            "telephone_number": "321-266-5166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEROLL CARE ASSISTED LIVING FACILITY OF MELBOURNE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-30",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A",
        "authorized_official_last_name": "LALEAU",
        "authorized_official_first_name": "JHOANE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "321-266-5166",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Evans Jenks
• Jacqueline Jennings, RN
• Leyna M Jennings
• Alexandra Jensen
• Hong Sun Jeong, MD
• JGN Investments LLC (Jeffrey G Nichols DMD PA)
• Kaysha Jimenez
• Roxana Jimenez
• Santiago Jimenez, M.D.
• Kraig Jinwright

• Assisted Living Facility in Melbourne, FL
• Providers in Melbourne, 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 30, 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.