PARC INC NPI 1477680916

NPI Information

NPI: 1477680916
Provider Name: PARC INC

Doing Business As: PARC COTTAGES

Classification: Intermediate Care Facility, Mentally Retarded - 315P00000X
Entity Type: Organization
Address:
3190 75TH ST N
ST PETERSBURG, FL
ZIP 33710
Phone: (727) 345-9111
Get Directions

PARC INC is an intermediate care facility mentally retarded in St Petersburg, FL. The provider is (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. PARC INC NPI is 1477680916. The provider is registered as an organization entity type.
The provider Is Doing Business As Parc Cottages.

The provider's business location address is:

3190 75TH ST N
ST PETERSBURG, FL
ZIP 33710-326
Phone: (727) 345-9111
Fax: (727) 345-7130

The provider's authorized official is Mark Wayne Cavanaugh .
The authorized official title is Owner and has the following contact phone number (727) 345-9111.

The enumeration date for this NPI number is 2/28/2007 and was last updated on 11/24/2021.

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
1	315P00000X	Intermediate Care Facility, Mentally Retarded		4055095	FLORIDA	No
2	315P00000X	Intermediate Care Facility, Mentally Retarded		4054095	FLORIDA	Yes

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
1	028035600	MEDICAID	FLORIDA
2	028505600	MEDICAID	FLORIDA

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

NPI Synchronization or Removal

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