PINELLAS COUNTY HOUSING AUTHORITY (NPI# 1063634517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063634517 |
| Entity Type | Organization |
| Organization Name | PINELLAS COUNTY HOUSING AUTHORITY |
| Other Organization Name | MAGNOLIA GARDENS ALF |
| Practice Address |
3800 62nd Ave North Pinellas Park FL 33781 |
| Practice Telephone | 7274896440 |
| Practice Fax Number | 7274896452 |
| Mailing Telephone | 7274896440 |
| Mailing Fax Number | 7274896452 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2008-06-27 |
| Authorized Official Name | DOUG HADLEY (ADMINISTRATOR) |
| Authorized Official Telephone | 7274896440 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | ALF10314 | FL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 142022400 | 05 | |
| FL | 685931300 | 05 |
| Other Name | Type Code |
|---|---|
| Magnolia Gardens ALF | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PINELLAS COUNTY HOUSING AUTHORITY | 11479 Ulmerton Rd, Largo, FL 33778-1602 |
| Street Address |
3800 62ND AVE NORTH |
| City | PINELLAS PARK |
| State | FL |
| Zip Code | 33781 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215554134 | Tanthia Chanel Delgado | Social Worker | Sequel Care of Florida, 3491 Gandy Blvd, Pinellas Park, FL 33781 | 2020-06-26 |
| 1932722139 | Sunrise Retirement Home LLC | Assisted Living Facility | 4201 70th Ave North, Pinellas Park, FL 33781 | 2020-05-21 |
| 1790319119 | Third Phase Medical, LLC Dba Physical Therapy Now, Pinellas Park | Physical Medicine & Rehabilitation | 6661 49th Street North, Pinellas Park, FL 33781 | 2020-02-25 |
| 1275166621 | Michael Palon | Chiropractor | 6615 49th St N, Pinellas Park, FL 33781 | 2020-02-13 |
| 1679080790 | Hyde Psychological Services LLC | Psychologist | 8130 66th St. N, Suite 10, Pinellas Park, FL 33781 | 2018-01-10 |
| 1184135964 | Susan Nmi Washam | Counselor | 3491 Gandy Blvd, Suite 201, Pinelias Park, FL 33781 | 2017-10-19 |
| 1194131730 | Ivan Samcam | Emergency Medicine | 6640 78th Ave N Ste A, Pinellas Park, FL 33781 | 2014-07-03 |
| 1306278809 | Select Medical Products | Durable Medical Equipment & Medical Supplies | 6531 47th Street North, Pinellas Park, FL 33781 | 2013-08-07 |
| 1639515133 | Kabrena Michelle Williams | Behavioral Analyst | 5030 78th Ave N Ste 11, Pinellas Park, FL 33781 | 2013-05-11 |
| 1649614975 | Dennis Alexander Tenenboym | Podiatrist | 7800 66th St N Ste 207, Pinellas Park, FL 33781 | 2013-04-17 |
| Find all providers in zip 33781 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932722139 | Sunrise Retirement Home LLC | Assisted Living Facility | 4201 70th Ave North, Pinellas Park, FL 33781 | 2020-05-21 |
| 1821625302 | Ba-r3l LLC | Assisted Living Facility | 7771 43rd St N, Pinellas Park, FL 33781-3621 | 2020-03-25 |
| 1417426438 | Paraiso Assisted Living Inc | Assisted Living Facility | 6174 97th Ter N, Pinellas Park, FL 33782-3119 | 2018-11-20 |
| 1508281171 | Nakos Inc. | Assisted Living Facility | 6285 71st St N, Pinellas Park, FL 33781-4833 | 2014-02-19 |
| 1861820540 | Glade Garden Inc | Assisted Living Facility | 5860 91st Ave N, Pinellas Park, FL 33782-4910 | 2013-10-16 |
| 1528402229 | Nic 4 Bayside Terrace Leasing LLC | Assisted Living Facility | 9381 U.S. 19, Pinellas Park, FL 33782 | 2013-04-24 |
| 1962744276 | Willow Bay Health Inc. | Assisted Living Facility | 7575 65th Way N, Pinellas Park, FL 33781-3116 | 2013-03-25 |
| 1184962003 | Palm Lake Village Housing Corporation | Assisted Living Facility | 3800 62nd Ave N, Pinellas Park, FL 33781-6055 | 2013-01-28 |
| 1174868962 | Nurses Helping Hands | Assisted Living Facility | 7191 71st St. N., Pinellas Park, FL 33781 | 2012-12-05 |
| 1194015636 | Bimini Manor | Assisted Living Facility | 3791 67th Ave N, Pinellas Park, FL 33781-6174 | 2011-04-18 |
| Find all providers in PINELLAS PARK | ||||
| City | PINELLAS PARK |
| Zip Code | 33781 |
Please comment or provide details below to improve the information on PINELLAS COUNTY HOUSING AUTHORITY.
| 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.