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JEROLL CARE ASSISTED LIVING, LLC
NPI 1619220324
Assisted Living Facility in Palm Bay, FL

Active since October 18, 2012
107 COFFEE ST SE, PALM BAY, FL 32909(321) 266-5166(321) 821-1525 Get Directions Write a Review

NPPES record last updated: October 18, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jeroll Care Assisted Living, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEROLL CARE ASSISTED LIVING, LLC (NPI 1619220324) is a healthcare organization registered as an assisted living facility in Palm Bay, Florida and active in the NPI registry since October 2012. The organization lists Jhoane Eunice Laleau, Administrator, as its authorized official.

NPPES Registry Identity

NPI1619220324
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameJEROLL CARE ASSISTED LIVING, LLC
Location Address107 COFFEE ST SEPalm Bay, FL 32909-8561
Mailing Address107 Coffee St SePalm Bay, FL 32909-8561 · (321) 266-5166 · Fax (321) 821-1525
Phone(321) 266-5166
Fax(321) 821-1525
Organization SubpartNo
Authorized OfficialJhoane Eunice LaleauAdministrator · (321) 266-5166
Enumeration DateOctober 18, 2012
✔ NPI 1619220324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in FL · 12239
Definition
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.
107 COFFEE ST SE, Palm Bay, FL 32909
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Other Identifiers 1

Medicaid003357400FL

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEROLL CARE ASSISTED LIVING, LLC
Assisted Living Facility
107 COFFEE ST SE
PALM BAY, FL 32909
Brevard County (321) 266-5166

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeroll Care Assisted Living, LLC's NPI number?

The NPI number for Jeroll Care Assisted Living, LLC is 1619220324. It was assigned to this organization in the NPPES registry on October 18, 2012.

Where is Jeroll Care Assisted Living, LLC located?

Jeroll Care Assisted Living, LLC is located at 107 Coffee St SE, Palm Bay, FL 32909. The listed phone number is (321) 266-5166.

What is Jeroll Care Assisted Living, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Jeroll Care Assisted Living, LLC was last updated on October 18, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.