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AMELIA ASSISTED LIVING FACILITY INC NPI 1407238504


NPI Information

NPI: 1407238504
Provider Name: AMELIA ASSISTED LIVING FACILITY, INC

Doing Business As: AMELIA ALF

Classification: Assisted Living Facility - 3104A0625X
Entity Type: Organization

Specialization: Assisted Living, Mental Illness

CLIA Number: 10D2200720

Address:
2135 40TH AVE N
ST PETERSBURG, FL
ZIP 33714
Phone: (813) 943-5380
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AMELIA ASSISTED LIVING FACILITY, INC is an assisted living and mental illness 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 special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. AMELIA ASSISTED LIVING FACILITY, INC NPI is 1407238504. The provider is registered as an organization entity type.
The provider Is Doing Business As Amelia Alf.

The provider's business location address is:

2135 40TH AVE N
ST PETERSBURG, FL
ZIP 33714-124
Phone: (813) 943-5380

The provider's authorized official is L Rene Bird .
The authorized official title is Owner/president and has the following contact phone number (813) 943-5380.

The CLIA number assigned to this NPI record is 10D2200720 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/24/2015 and was last updated on 6/24/2015.


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
13104A0625XAssisted Living FacilityAssisted Living, Mental Illness1052FLORIDAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.