MEDICARE: GLENVILLE PINES ASSISTED LIVING FACILITY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility	AL12126	FL

General Provider Information

NPI Number	:	1851731236
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GLENVILLE PINES ASSISTED LIVING FACILITY

Provider Business Mailing Address
First Line	:	1351 STEELE RD SE
Second Line	:
City	:	PALM BAY
State	:	FL
Zip	:	32909-5332
Country	:	US
Telephone Number	:	321-984-7568
Fax Number	:	321-984-7568

Provider Business Practice Location Address
First Line	:	1351 STEELE RD SE
Second Line	:
City	:	PALM BAY
State	:	FL
Zip	:	32909-5332
Country	:	US
Telephone Number	:	321-984-7568
Fax Number	:	321-984-7568

Authorized Official
Title or Position	:	OWNER/ADMINISTRATOR
Name	:	MS. ELIDA M REYES-KERR
Credential	:
Telephone Number	:	321-984-7568

Provider Enumeration Date	:	06/28/2013
Last Update Date	:	06/28/2013

Similar Medicare Providers

1790637312 — COMFORT CARE MANOR LLC
Practice Location Address:

1351 STEELE RD SE
PALM BAY, FL
32909-5332

Practice Phone: 321-802-3066
Practice Fax:

1699114066 — ELIDA M. REYES-KERR
Practice Location Address:

1351 STEELE RD SE
PALM BAY, FL
32909-5332

Practice Phone: 321-989-7568
Practice Fax:

1194411553 — REGIS MANOR LLC
Practice Location Address:

1351 STEELE RD SE
PALM BAY, FL
32909-5332

Practice Phone: 321-271-8479
Practice Fax:

1164968574 — MEDFIND, INC.
Practice Location Address:

5332 SW ORCHID BAY DR
PALM CITY, FL
34990-8519

Practice Phone: 772-631-3704
Practice Fax:

1144894072 — PAUL SMITH DORVAL
Practice Location Address:

2401 E TAMARIND AVE
WEST PALM BEACH, FL
33407-5332

Practice Phone: 561-578-3530
Practice Fax:

1598617029 — PATRICIA PEREZ HERNANDEZ
Practice Location Address:

1667 TILLY ST SE
PALM BAY, FL
32909-5704

Practice Phone: 813-518-1782
Practice Fax:

Directions to “GLENVILLE PINES ASSISTED LIVING FACILITY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.