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SUNCOAST MANOR RETIREMENT COMMUNITY INC NPI 1720467210


NPI Information

NPI: 1720467210
Provider Name: SUNCOAST MANOR RETIREMENT COMMUNITY INC

Doing Business As: WESTMINSTER SUNCOAST

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

CLIA Number: 10D0695285

Address:
1095 PINELLAS POINT DR S
ST PETERSBURG, FL
ZIP 33705
Phone: (727) 867-1131
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SUNCOAST MANOR RETIREMENT COMMUNITY INC 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. SUNCOAST MANOR RETIREMENT COMMUNITY INC NPI is 1720467210. The provider is registered as an organization entity type.
The provider Is Doing Business As Westminster Suncoast.

The provider's business location address is:

1095 PINELLAS POINT DR S
ST PETERSBURG, FL
ZIP 33705-154
Phone: (727) 867-1131
Fax: (727) 866-8742

The provider's authorized official is Henry T Keith .
The authorized official title is Sr Vice President & Cfo and has the following contact phone number (407) 839-5050.

The CLIA number assigned to this NPI record is 10D0695285 - skilled nursing/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/29/2015 and was last updated on 5/29/2015.


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
1310400000XAssisted Living FacilityAL6535FLORIDAYes

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
1021270900MEDICAIDFLORIDA
2105926MEDICARE PINFLORIDA

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.