PEMBROOK PLACE 2 INC. NPI 1831515345

NPI Information

  • NPI: 1831515345
  • Provider Name: PEMBROOK PLACE 2, INC.
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: PEMBROOK PLACE II ASSISTED LIVING FACILITY
  • Address: 1623 ROBINHOOD LN
    CLEARWATER, FL
    ZIP 33764
  • Phone: (727) 539-6872

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NPI Details

PEMBROOK PLACE 2, 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 2, INC. NPI is 1831515345. The provider is registered as an organization entity type.
The provider Is Doing Business As Pembrook Place Ii Assisted Living Facility.

The provider's business location address is:

1623 ROBINHOOD LN
CLEARWATER, FL
ZIP 33764-447
Phone: (727) 539-6872
Fax: (727) 213-9068

The provider's authorized official is Michael Monteclaro .
The authorized official title is President/administrator and has the following contact phone number (727) 656-2245.

The enumeration date for this NPI number is 3/7/2014 and was last updated on 3/7/2014.

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
1310400000XAssisted Living FacilityAL7581FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1005240000OTHERFLORIDAMEDICAID PROVIDER NO.

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: 11/21/2025

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