Provider Type Icon

PONDELLA SERENITY COURT LLC NPI 1497811533


NPI Information

NPI: 1497811533
Provider Name: PONDELLA SERENITY COURT, LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
1923 NE 6TH ST
CAPE CORAL, FL
ZIP 33909
Phone: (239) 242-0597
Get Directions

PONDELLA SERENITY COURT, LLC is an assisted living facility in Cape Coral, 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. PONDELLA SERENITY COURT, LLC NPI is 1497811533. The provider is registered as an organization entity type.

The provider's business location address is:

1923 NE 6TH ST
CAPE CORAL, FL
ZIP 33909-271
Phone: (239) 242-0597
Fax: (239) 458-5595

The provider's authorized official is Marcial / Or Yolette Osselin .
The authorized official title is Accountant and has the following contact phone number (239) 242-0597.

The enumeration date for this NPI number is 12/30/2006 and was last updated on 11/11/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living FacilityAL10725FLORIDAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.