BON SECOURS ST PETERSBURG HOME CARE SERVICES LLC NPI 1295847341

NPI Information

  • NPI: 1295847341
  • Provider Name: BON SECOURS ST PETERSBURG HOME CARE SERVICES LLC
  • Classification: Home Health - 251E00000X
  • Entity Type: Organization
  • Doing Business As: BON SECOURS HOMECARE SERVICES
  • CLIA Number: 10D1081571
  • Address: 11001 ROOSEVELT BLVD N STE 100
    ST PETERSBURG, FL
    ZIP 33716
  • Phone: (727) 577-7990

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NPI Details

BON SECOURS ST PETERSBURG HOME CARE SERVICES LLC is a home health in St Petersburg, FL. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. BON SECOURS ST PETERSBURG HOME CARE SERVICES LLC NPI is 1295847341. The provider is registered as an organization entity type.
The provider Is Doing Business As Bon Secours Homecare Services.

The provider's business location address is:

11001 ROOSEVELT BLVD N STE 100
ST PETERSBURG, FL
ZIP 33716-344
Phone: (727) 577-7990
Fax: (727) 576-6138

The provider's authorized official is Kimberly Ralston .
The authorized official title is Vp Reimbursement and has the following contact phone number (419) 996-5119.

The CLIA number assigned to this NPI record is 10D1081571 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 9/20/2023.

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
1251E00000XHome HealthYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1299992508OTHERFLORIDAHOME HEALTH LICENSE
22999992508OTHERFLORIDAHOME HEALTH LICENSE

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: 3/30/2025

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