Pendry Estate

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

6906206 Issued in FL

Legal business name

PENDRY ESTATE

Practice address

36120 Huff Rd
Eustis, FL 32736-9335

Phone

(352) 357-2268

Fax

(352) 357-2065

NPI assigned

Jun 26, 2008

Organization subpart

No

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

Authorized official

Name

Mr. David ForsterNPI 1356587034

Title

Provider

Phone

(352) 357-2268

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Forster

  • Assisted Living Facility
  • Eustis, FL
  • NPI 1356587034
  NPD (past) Authorized official

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1851553317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36120 HUFF RD",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327369335",
            "telephone_number": "352-357-2268",
            "fax_number": "352-357-2065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36120 HUFF RD",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327369335",
            "telephone_number": "352-357-2268",
            "fax_number": "352-357-2065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENDRY ESTATE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-26",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "FORSTER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "352-357-2268",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "6906206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keyur Krishna Patel, D.C.
• Peacefully Polished Support Services LLC
• Janene Paulette Pearson
• Ma Zoraya E Pedro
• John Carmen Pellosie Jr., D.O., M.P.H., FAOCOP
• Pennachio & Fishman M.D., P.a.
• Chandrekar Persaud
• Personal Healthcare Products Inc.
• Physio Med Inc
• Nahomie Pierre

• Adult Care Home Facility in Eustis, FL
• Providers in Eustis, FL by specialty
• Adult Care Home Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.