SAINT PETERSBURG SNF LLC


Address: 811 Jackson St N, St Petersburg, FL 33705-1238
Phone: 7272093600

SAINT PETERSBURG SNF LLC (NPI# 1295934057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295934057
Entity Type Organization
Organization Name SAINT PETERSBURG SNF LLC
Other Organization Name BAYSIDE REHABILITAITON AND HEALTH CENTER
Practice Address 811 Jackson St N
St Petersburg
FL 33705-1238
Mailing Address 1835 Ne Miami Gardens Dr
#368
North Miami Beach
FL 33179-5035
Practice Telephone 7272093600
Practice Fax Number 7278212453
Enumeration Date 2007-07-12
Last Update Date 2013-10-04
Authorized Official Name MR. TZVI BOGOMILSKY (AUTHORIZED OFFICIAL)
Authorized Official Telephone 3054017901
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility SNF1250095 FL Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
FL 032410800 05

Other Provider/Organization Names

Other Name Type Code
Bayside Rehabilitaiton and Health Center Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1225026818 Saint Petersburg Snf LLC Skilled Nursing Facility 811 Jackson St N, St Petersburg, FL 33705-1238 2005-10-09

Office Location

Street Address 811 JACKSON ST N
City ST PETERSBURG
State FL
Zip Code 33705-1238

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225026818 Saint Petersburg Snf LLC Skilled Nursing Facility 811 Jackson St N, St Petersburg, FL 33705-1238 2005-10-09
1073998522 Bayside Facility Inc Skilled Nursing Facility 811 Jackson St N, St Petersburg, FL 33705-1238 2015-07-27
1093848392 Spop LLC Skilled Nursing Facility 811 Jackson St N, St Petersburg, FL 33705-1238 2007-03-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154935781 Caressa Alice Slocum Psychologist 840 Dr M.l.k. Jr St N, St. Petersburg, FL 33705 2020-09-01
1386133015 Angela Ann Little Social Worker 920 Country Club Way S, St Petersburg, FL 33705 2018-05-08
1497279483 Infinity Health Consultants, LLC. In Home Supportive Care 1001 27th Avenue South, St. Petersburg, FL 33705 2017-08-01
1801320528 Dedicated Senior Medical Center St. Petersburg, LLC. Non-Pharmacy Dispensing Site 901 22nd Avenue South, Dedicated Senior Medical Center St. Petersburg, LLC., St. Petersburg, FL 33705 2017-04-19
1790135762 Robin Dong Emergency Medicine 1095 5th Ave N, St. Petersburg, FL 33705 2016-06-20
1437550084 Community Health Center of Pinellas Inc Clinic/Center 612 Dr Martin L King St N, St Petersburg, FL 33705 2014-09-12
1164851754 Jennifer Carey Counselor 11 Mlk Jr St South, St. Petersburg, FL 33705 2013-11-05
1750623997 Dannaly Reyes Baerga Physical Medicine & Rehabilitation 1201 5th Ave N Ste 202, St Petersburg, FL 33705 2013-03-26
1518209055 Nii Sai Torto Emergency Medicine 500 Doctor. M.l.k, Jr. Street North, Ste 303, Saint Petersburg, FL 33705 2013-03-22
1790034635 Melissa White Kidwell Physical Therapist 500 Mlking Street N, Ste 100, St. Petersburg, FL 33705 2012-09-06
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Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(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.

Providers in the same taxonomy and city

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
1013904234 Bon Secours - Maria Manor Nursing Care Center LLC Skilled Nursing Facility 10300 4th St North, St Petersburg, FL 33716-3810 2005-10-03
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
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Competitor

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City ST PETERSBURG
Zip Code 33705

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Dataset Information

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.

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