OrganizationActive
Pinewood Estates Assisted Living Facility
NPI 1174992622 · Assisted Living Facility · Melbourne, FL
Provider details
- NPI number
- 1174992622
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Parent organization
- Pinewood Estates Assisted Living Facility
- Organization subpart
- Yes
- Authorized official
- Peter Fellows, Director(786) 376-4043
- License
- AL12678 (FL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Nursing & Custodial Care Facilities
Nursing & Custodial Care Facilities
Respite Care Facility
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4055 Pinewood Rd
Melbourne, FL 32934-9053
Phone: (786) 376-4043
Street-level locationGet directions
Mailing address
Po Box 640902
Miami, FL 33164-0902
Other names (DBA / former)
- Doing business as
- Pinewood Estates Assisted Living Community
Registry dates
- Enumerated
- 2015-09-15
- Last updated
- 2015-09-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.