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ST. PETERSBURG OPERATOR LLC NPI 1497278519


NPI Information

NPI: 1497278519
Provider Name: ST. PETERSBURG OPERATOR LLC

Doing Business As: BRENTWOOD SENIOR LIVING AT ST. PETE

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
6280 CENTRAL AVE
ST PETERSBURG, FL
ZIP 33707
Phone: (727) 954-7015
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ST. PETERSBURG OPERATOR 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. ST. PETERSBURG OPERATOR LLC NPI is 1497278519. The provider is registered as an organization entity type.
The provider Is Doing Business As Brentwood Senior Living At St. Pete.

The provider's business location address is:

6280 CENTRAL AVE
ST PETERSBURG, FL
ZIP 33707-429
Phone: (727) 954-7015

The provider's authorized official is Kenneth Assiran .
The authorized official title is Financial Officer and has the following contact phone number (410) 427-2669.

The enumeration date for this NPI number is 7/20/2017 and was last updated on 7/20/2017.


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 FacilityYes

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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