PELICAN BAY RETIREMENT SERVICES INC (NPI# 1083663991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083663991 |
| Entity Type | Organization |
| Organization Name | PELICAN BAY RETIREMENT SERVICES INC |
| Other Organization Name | PREMIER PLACE AT THE GLENVIEW |
| Practice Address |
100 Glenview Pl Naples FL 34108-3137 |
| Practice Telephone | 2395910011 |
| Mailing Telephone | 2395910011 |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2019-03-14 |
| Authorized Official Name | KENNETH WILLIAMS (PRESIDENT & TREASURER) |
| Authorized Official Telephone | 2395914235 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | SNF1175096 | FL | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Premier Place at the Glenview | Doing Business As Name - Organization |
| Street Address |
100 GLENVIEW PL |
| City | NAPLES |
| State | FL |
| Zip Code | 34108-3137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134732688 | Stephen Patrick Smith | Speech-Language Pathologist | 100 Glenview Pl, Naples, FL 34108-3137 | 2020-08-25 |
| 1992318448 | Victoria Nikole Hockman | Physical Therapy Assistant | 100 Glenview Pl, Naples, FL 34108-3137 | 2020-08-25 |
| 1659983039 | Brianna Jones | Occupational Therapy Assistant | 100 Glenview Pl, Naples, FL 34108-3137 | 2020-08-18 |
| 1780209965 | Mikayla Holder | Physical Therapist | 100 Glenview Pl, Naples, FL 34108-3137 | 2020-06-12 |
| 1639709363 | Shayne Inness | Physical Therapy Assistant | 100 Glenview Pl, Naples, FL 34108-3137 | 2020-01-22 |
| 1215422910 | Brian Jacobson | Physical Therapy Assistant | 100 Glenview Pl, Naples, FL 34108-3137 | 2018-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417422262 | Alejandra Herrera Munoz | Occupational Therapist | 646 103rd Ave N, Naples, FL 34108 | 2018-10-08 |
| 1912402983 | Cvs Aoc Services, L.L.C. | Audiologist-Hearing Aid Fitter | 8863h Tamiami Trl N, Naples, FL 34108 | 2018-03-29 |
| 1861886863 | Zounds Hearing | Durable Medical Equipment & Medical Supplies | 9331 Tamiami Trail, Naples, FL 34108 | 2015-03-27 |
| 1750651220 | Dr. Alfonso Olivos, P.a. | Family Medicine | 873 101 Avenue N., Naples, FL 34108 | 2011-12-30 |
| 1083901367 | Gregory Alan Mazur | Podiatrist | 9915 Tamiami Trl N Ste 1, Naples, FL 34108 | 2011-07-07 |
| 1124253398 | G B Fisher IIi Do Pa | Ophthalmology | 875 105 Ave North, Naples, FL 34108 | 2009-05-18 |
| 1134378466 | Susanna Alis | Counselor | 9853 Tamiami Trl N Ste 227c, Naples, FL 34108 | 2008-09-10 |
| 1194995720 | William Nicholas Sullivan | Dentist | 6100 Trail Blvd North, Suite 1, Naples, FL 34108 | 2008-03-11 |
| 1285838219 | John Woolman Cox | Dermatology | 650 Bridgeway Lane, Naples, FL 34108 | 2007-06-13 |
| 1780888263 | Gerald Frank Levens | Family Medicine | 1175 Creekside Pkwy Ste 200, Naples, FL 34108 | 2007-06-11 |
| Find all providers in zip 34108 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205311305 | Terracina IIi, LLC | Skilled Nursing Facility | 6869 Davis Boulevard, Naples, FL 34104 | 2018-09-25 |
| 1912378555 | Solaris Healthcare Properties LLC | Skilled Nursing Facility | 1951 J and C Blvd, Naples, FL 34109-6211 | 2015-10-08 |
| 1932297553 | Prime Care One LLC | Skilled Nursing Facility | 7801 Airport Pulling Rd N, Naples, FL 34109-1717 | 2006-10-10 |
| 1093724858 | Health Center of Imperial, Inc. | Skilled Nursing Facility | 900 Imperial Golf Course Blvd, Naples, FL 34110-1085 | 2006-08-07 |
| 1366465569 | Sovran Management Company LLC | Skilled Nursing Facility | 3073 Horseshoe Dr S, Ste 102, Naples, FL 34104-6144 | 2006-07-26 |
| 1013954353 | Cc-naples, Inc. | Skilled Nursing Facility | 875 Retreat Dr, Naples, FL 34110-7927 | 2006-06-02 |
| 1366499535 | Manorcare Health Services LLC | Skilled Nursing Facility | 6135 Rattlesnake Hammock Rd, Naples, FL 34113-2912 | 2006-05-31 |
| 1467409201 | Manor Care of Naples Fl LLC | Skilled Nursing Facility | 3601 Lakewood Blvd, Naples, FL 34112-6145 | 2006-05-27 |
| 1245286822 | Ninth Street Health Care Associates LLC | Skilled Nursing Facility | 777 9th St N, Naples, FL 34102-8135 | 2006-05-26 |
| 1780683854 | Health Center of Naples Inc | Skilled Nursing Facility | 10949 Parnu St, Naples, FL 34109-1405 | 2005-07-20 |
| Find all providers in NAPLES | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.