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BON SECOURS PLACE AT ST PETERSBURG LLC NPI 1366424202


NPI Information

NPI: 1366424202
Provider Name: BON SECOURS PLACE AT ST PETERSBURG LLC

Doing Business As: BON SECOURS PLACE AT ST PETERSBURG

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 10D0984732

Address:
10401 ROOSEVELT BLVD N
ST PETERSBURG, FL
ZIP 33716
Phone: (727) 563-9733
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BON SECOURS PLACE AT ST PETERSBURG LLC is an assisted living facility in St Petersburg, 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. BON SECOURS PLACE AT ST PETERSBURG LLC NPI is 1366424202. The provider is registered as an organization entity type.
The provider Is Doing Business As Bon Secours Place At St Petersburg.

The provider's business location address is:

10401 ROOSEVELT BLVD N
ST PETERSBURG, FL
ZIP 33716-836
Phone: (727) 563-9733
Fax: (727) 563-9595

The provider's authorized official is Karen G. Reich .
The authorized official title is Ceo and has the following contact phone number (727) 568-1000.

The CLIA number assigned to this NPI record is 10D0984732 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/16/2005 and was last updated on 10/24/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living Facility9939FLORIDAYes

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: 11/14/2023

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