BON SECOURS - MARIA MANOR NURSING CARE CENTER LLC (NPI# 1013904234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013904234 |
| Entity Type | Organization |
| Organization Name | BON SECOURS - MARIA MANOR NURSING CARE CENTER LLC |
| Practice Address |
10300 4th St North St Petersburg FL 33716-3810 |
| Mailing Address |
10300 4th St North St. Petersburg FL 33716-3810 |
| Practice Telephone | 7275681000 |
| Practice Fax Number | 7275681088 |
| Mailing Telephone | 7275681000 |
| Mailing Fax Number | 7275681088 |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2020-11-03 |
| Authorized Official Name | KIMBERLY RALSTON (SYSTEM DIRECTOR) |
| Authorized Official Telephone | 4199965119 |
| Is Organization Subpart | Y |
| Parent Organization Name | BON SECOURS HEALTH SYSTEMS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | SNF1055096 | FL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 020010700 | 05 |
| Street Address |
10300 4TH ST NORTH |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33716-3810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699205815 | Orthopaedic Medical Group of Tampa Bay Pa | Clinic/Center | 10033 Mlk Jr St N Fl 3, St Petersburg, FL 33716 | 2017-06-20 |
| 1316471113 | Sara Alexandra Maltese | Dentist | 871 Ibis Walk Pl N Unit 7201, St Petersburg, FL 33716 | 2017-04-18 |
| 1508229972 | Florida Cardiac Therapeutics, Inc | Internal Medicine | 10033 Doctor M.l.k. Jr St N, Suite 302, St Petersburg, FL 33716 | 2016-04-01 |
| 1720440902 | Valorie Baker | Day Training, Developmentally Disabled Services | 115 112th Ave Ne Apt 627, St Petersburg, FL 33716 | 2016-03-25 |
| 1346611142 | Theresa Bowen | Occupational Therapist | 810 S. Village Drive N, #103, St. Petersburg, FL 33716 | 2015-10-19 |
| 1356775423 | Paula J Smith | Massage Therapist | 400 Carillon Pkwy #130, Mountain Tree Massage, LLC, St. Petersburg, FL 33716 | 2013-08-26 |
| 1699118596 | Kellie L Kintz | Social Worker | 540 Carillon Parkway, Apartment 3026, The Promenade At Carillon, St. Petersburg, FL 33716 | 2013-04-10 |
| 1427398288 | St. Petersburg General Hospital | General Acute Care Hospital | 11850 Doctor Martin Luther King Jr. St. North, Apt 22-312, St Petersburg, FL 33716 | 2013-02-15 |
| 1952657314 | Trudy Anna Glover | Occupational Therapy Assistant | 11850 9th Street North, Apt 20208, St Petersburg, FL 33716 | 2012-08-02 |
| 1275834129 | Prison Rehabilitative Industries & Diversified Enterprises | Dental Laboratory | 12425 28th St. N., Suite 300, St. Petersburg, FL 33716 | 2010-11-09 |
| Find all providers in zip 33716 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134138985 | Coquina Key Health Care Center, Inc. | Skilled Nursing Facility | 435 42nd Ave S, St Petersburg, FL 33705-4504 | 2006-08-07 |
| 1225046584 | Eagle Lake Foundation Inc | Skilled Nursing Facility | 1100 66th St N, St Petersburg, FL 33710-6224 | 2006-08-03 |
| 1467488981 | Suncoast Manor Retirement Community, Inc. | Skilled Nursing Facility | 1095 Pinellas Point Dr S, St Petersburg, FL 33705-6154 | 2006-06-25 |
| 1295723591 | Senior Care Golfview LLC | Skilled Nursing Facility | 3636 10th Ave N, St Petersburg, FL 33713-6528 | 2005-10-11 |
| 1225026818 | Saint Petersburg Snf LLC | Skilled Nursing Facility | 811 Jackson St N, St Petersburg, FL 33705-1238 | 2005-10-09 |
| 1295722817 | Sovereign Healthcare of Pinellas Point, LLC | Skilled Nursing Facility | 5601 31st St S, St Petersburg, FL 33712-4605 | 2005-09-29 |
| 1740276385 | Snell Island Snf LLC | Skilled Nursing Facility | 4500 Indianapolis St Ne, St Petersburg, FL 33703-4317 | 2005-09-20 |
| 1811999881 | Scg Baywood LLC | Skilled Nursing Facility | 2000 17th Ave S, St Petersburg, FL 33712 | 2005-08-10 |
| 1932101987 | Scg Laurellwood LLC | Skilled Nursing Facility | 3127 57th Ave N, St Petersburg, FL 33714 | 2005-08-10 |
| 1134125362 | Sa-st. Petersburg, LLC | Skilled Nursing Facility | 521 69th Ave N, St Petersburg, FL 33702-6810 | 2005-06-22 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33716 |
Please comment or provide details below to improve the information on BON SECOURS - MARIA MANOR NURSING CARE CENTER LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.