ST. CLOUD SLC OPCO LLC NPI 1295435311

NPI Information

  • NPI: 1295435311
  • Provider Name: ST. CLOUD SLC OPCO, LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • CLIA Number: 10D2295135
  • Address: 3791 OLD CANOE CREEK RD
    SAINT CLOUD, FL
    ZIP 34769
  • Phone: (407) 892-8502

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NPI Details

ST. CLOUD SLC OPCO, LLC is an assisted living facility in Saint Cloud, 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. CLOUD SLC OPCO, LLC NPI is 1295435311. The provider is registered as an organization entity type.

The provider's business location address is:

3791 OLD CANOE CREEK RD
SAINT CLOUD, FL
ZIP 34769-630
Phone: (407) 892-8502

The provider's authorized official is Pilar Carvajal .
The authorized official title is Ceo and has the following contact phone number (305) 428-2480.

The CLIA number assigned to this NPI record is 10D2295135 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/7/2023 and was last updated on 3/7/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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: 11/21/2025

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