PEMBROOK PLACE ALF INC. NPI 1477884104

NPI Information

NPI: 1477884104
Provider Name: PEMBROOK PLACE ALF INC.
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
2331 PEMBROOK DR.
CLEARWATER, FL
ZIP 33764
Phone: (727) 536-5865
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PEMBROOK PLACE ALF INC. is an assisted living facility in Clearwater, FL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. PEMBROOK PLACE ALF INC. NPI is 1477884104. The provider is registered as an organization entity type.

The provider's business location address is:

2331 PEMBROOK DR.
CLEARWATER, FL
ZIP 33764
Phone: (727) 536-5865
Fax: (727) 539-1484

The provider's authorized official is Estrella Labios Monteclaro .
The authorized official title is President and has the following contact phone number (727) 536-5865.

The enumeration date for this NPI number is 1/20/2010 and was last updated on 1/20/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility		ALF LEVEL 2 #AL7581	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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