GRACE MANOR ALF LLC (NPI# 1306330774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306330774 |
| Entity Type | Organization |
| Organization Name | GRACE MANOR ALF LLC |
| Practice Address |
5916 45th Ave N Saint Petersburg FL 33709-5105 |
| Practice Telephone | 7276665060 |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2018-06-19 |
| Authorized Official Name | MARYANN PANTONIAL (OWNER) |
| Authorized Official Telephone | 7276665060 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 13186 | FL | Nursing & Custodial Care Facilities |
| Street Address |
5916 45TH AVE N |
| City | SAINT PETERSBURG |
| State | FL |
| Zip Code | 33709-5105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770110637 | Mylien Le | Registered Nurse | 6001 49th Street North, St Petersburg, FL 33709 | 2020-03-23 |
| 1457885063 | Kamlesh Rajani | Pharmacist | 5985-b 49th Street North, Saint Petersburg, FL 33709 | 2017-04-20 |
| 1417382912 | Farhan Hooda | Internal Medicine | The Heart Institute, 6006 49th St. North, Ste. 200, St. Petersburg, FL 33709 | 2013-09-04 |
| 1558702605 | Walgreens | Clinic/Center | 3994 Tyrone Blvd, Saint Petersburg, FL 33709 | 2013-07-17 |
| 1437417607 | Jeri Devale | Social Worker | 6241 43rd Ter N, Kenneth City, FL 33709 | 2012-04-25 |
| 1528340643 | Steven E. Allbritton | Pharmacist | 5405 66th Street N., Saint Petersburg, FL 33709 | 2011-09-14 |
| 1043537335 | Milan Ravindra Patel | Internal Medicine | 3901 66th St N Ste 201, St Petersburg, FL 33709 | 2010-04-26 |
| 1134454713 | Eye Designs Optical and Vision Care, LLC | Optometrist | 3831 Tyrone Boulevard, St. Petersburg, FL 33709 | 2009-10-15 |
| 1487827069 | Jose Manuel Garcia | Dentist | 4911 Park Street North, St Petersburg, FL 33709 | 2008-04-04 |
| 1104097427 | Stanley D Grimmel | Chiropractor | 5670 54th Ave. N, A2, Saint Petersburg, FL 33709 | 2008-03-13 |
| Find all providers in zip 33709 | ||||
| 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 |
|---|---|---|---|---|
| 1679943302 | Marimar Manor | Assisted Living Facility | 493 8th Ave N, Saint Petersburg, FL 33701-2342 | 2015-10-07 |
| 1639568025 | Georgia's Place Inc. | Assisted Living Facility | 2101 7th St S, Saint Petersburg, FL 33705-2723 | 2015-01-22 |
| 1093110132 | Svetlana Zablotzka | Assisted Living Facility | 200 Se Lincoln Cir N, Saint Petersburg, FL 33703-1435 | 2014-10-31 |
| 1295163301 | Shreeji Sai LLC | Assisted Living Facility | 6439 1st Ave S, Saint Petersburg, FL 33707-1301 | 2013-10-29 |
| 1588964258 | Linet Tender Loving Care Alf | Assisted Living Facility | 4239 53rd Ave N, Saint Petersburg, FL 33714-2238 | 2010-10-28 |
| 1548426869 | Ozonvill, Inc. | Assisted Living Facility | 5012 Northridge St N, Saint Petersburg, FL 33709-3208 | 2008-08-06 |
| 1174691265 | Comfort Manor Inc. | Assisted Living Facility | 8087 25th Ave N, Saint Petersburg, FL 33710-3627 | 2006-11-30 |
| 1467417857 | Florida Hhc Corp. | Assisted Living Facility | 3586 53rd Ave N, Saint Petersburg, FL 33714-2412 | 2006-04-19 |
| 1447870266 | House of Bostics LLC (the) | Assisted Living Facility | 3586 53rd Ave N, Saint Petersburg, FL 33714-2412 | 2020-04-22 |
| 1790299352 | Kona Gardens LLC | Assisted Living Facility | 601 49th St N, Saint Petersburg, FL 33710-7320 | 2017-11-18 |
| Find all providers in SAINT PETERSBURG | ||||
| City | SAINT PETERSBURG |
| Zip Code | 33709 |
Please comment or provide details below to improve the information on GRACE MANOR ALF 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.