Pelican Garden Alf

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL10510 Issued in FL

Legal business name

PELICAN GARDEN ALF

Practice address

177 Empress Ave
Sebastian, FL 32958

Phone

(772) 388-4730

Fax

(772) 388-3502

NPI assigned

Mar 27, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Donald Wright

Title

Owner

Phone

(772) 388-4730

Specialties & licenses 1

Addresses

Other names 1

• Assisted Living Facility Other name

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942260591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 EMPRESS AVENUE",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "32958",
            "telephone_number": "772-388-4730",
            "fax_number": "772-388-3502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 EMPRESS AVE",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "32958",
            "telephone_number": "772-388-4730",
            "fax_number": "772-388-3502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELICAN GARDEN ALF",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-388-4730",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Assisted Living Facility",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Patrick Pirkle & Joshua Chapman, DMD, PA
• Sarah V Payne, AGACNP-BC
• Pedro a Espat DO
• Davie Leigh Peek
• Pelican Coast Emergency Physicians LLC
• Pelican Pediatrics
• Penny Pediatrics, Inc., P.a.
• Marza Smith Penny, M.D.
• Gabriella Rae Perez, PHARMD
• Naomi Dawn Perri, ARNP-C

• Assisted Living Facility in Sebastian, FL
• Providers in Sebastian, 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 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.