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MORNINGSTAR ASSISTED LIVING LLC NPI 1720329063


NPI Information

NPI: 1720329063
Provider Name: MORNINGSTAR ASSISTED LIVING, LLC

Doing Business As: BAYTREE LAKESIDE

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
6411 46TH AVE N
ST PETERSBURG, FL
ZIP 33709
Phone: (727) 545-0623
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MORNINGSTAR ASSISTED LIVING, 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. MORNINGSTAR ASSISTED LIVING, LLC NPI is 1720329063. The provider is registered as an organization entity type.
The provider Is Doing Business As Baytree Lakeside.

The provider's business location address is:

6411 46TH AVE N
ST PETERSBURG, FL
ZIP 33709-105
Phone: (727) 545-0623
Fax: (727) 544-2416

The provider's authorized official is Laura Goicu .
The authorized official title is Owner and has the following contact phone number (360) 920-9598.

The enumeration date for this NPI number is 3/12/2013 and was last updated on 12/18/2017.


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 Facility6773FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1008294100MEDICAIDFLORIDA

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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