Senior Care of Pensacola L.C.

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

AL7119 Issued in FL

Legal business name

SENIOR CARE OF PENSACOLA L.C.

Practice address

1015 Vernon St
Pensacola, FL 32504-7055

Phone

(850) 476-5131

NPI assigned

Aug 2, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Robert Fulle

Title

Owner

Phone

(850) 476-5131

Specialties & licenses 1

Addresses

Other names 1

• Pleasant Home Doing business as

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881601904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 VERNON ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325047055",
            "telephone_number": "850-476-5131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 VERNON ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325047055",
            "telephone_number": "850-476-5131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR CARE OF PENSACOLA L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FULLE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-476-5131",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "AL7119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pleasant Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mandy Cherie Selner
• Kimberly Shae Selvio, NP
• Cynthia Seme
• Hirak J Sen, MD
• Christina Maria Senesac, APRN
• Senior Home Care, Inc.
• Senior Lifestyles, LLC
• Senior Nannies Home Care Services, LLC
• Senior Premium Home Care, LLC
• Sensational Seeds of Love; LLC

• Assisted Living Facility (Mental Illness) in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Assisted Living Facility (Mental Illness) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.