AMELIA ASSISTED LIVING FACILITY, INC (NPI# 1407238504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407238504 |
| Entity Type | Organization |
| Organization Name | AMELIA ASSISTED LIVING FACILITY, INC |
| Other Organization Name | AMELIA ALF |
| Practice Address |
2135 40th Ave N St Petersburg FL 33714-4124 |
| Mailing Address |
12219 Swaying Moss Cir Riverview FL 33569-4718 |
| Practice Telephone | 8139435380 |
| Mailing Telephone | 8139435380 |
| Mailing Fax Number | 8133544839 |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2015-06-24 |
| Authorized Official Name | MRS. L RENE BIRD (OWNER/PRESIDENT) |
| Authorized Official Telephone | 8139435380 |
| Authorized Official Credential | LPN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
1052 | FL | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Amelia ALF | Doing Business As Name - Organization |
| Street Address |
2135 40TH AVE N |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33714-4124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750674255 | Grady Management Corp. | Assisted Living Facility | 2135 40th Ave N, St Petersburg, FL 33714-4124 | 2011-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780134601 | Andrew Lee Coet | Behavioral Analyst | 5185 45th St. N, Bldg C, St Petersburg, FL 33714 | 2016-10-04 |
| 1316323827 | Krystian Sarkady | Marriage & Family Therapist | 3959 52nd Ave N, Saint Petersburg, FL 33714 | 2015-08-06 |
| 1932101987 | Scg Laurellwood LLC | Skilled Nursing Facility | 3127 57th Ave N, St Petersburg, FL 33714 | 2005-08-10 |
| 1225237100 | Springfield Development Company | Durable Medical Equipment & Medical Supplies | 5528 Haines Rd N, St Petersburg, FL 33714-0000 | 2007-07-12 |
| 1114323961 | Danang Pharmacy LLC | Pharmacy | 5944 34th St N Ste 1, Saint Petersburg, FL 33714-1211 | 2014-11-06 |
| 1326664913 | Lananh Doan | Pharmacist | 5944 34th St N Ste 1, Saint Petersburg, FL 33714-1211 | 2020-06-19 |
| 1073910410 | Britten Moyers | Counselor | 3455 58th Ave N, St Petersburg, FL 33714-1226 | 2014-12-01 |
| 1407355084 | Laurellwood Facility Inc | Skilled Nursing Facility | 3127 57th Ave N, St Petersburg, FL 33714-1320 | 2018-02-08 |
| 1871580894 | Scg Laurellwood, LLC | Skilled Nursing Facility | 3127 57th Ave N, St Petersburg, FL 33714-1320 | 2005-10-04 |
| 1598135436 | Anne E. Roberts | Nurse Practitioner | 601 5th Street S., Suite #605, St. Petersburg, FL 33714-1326 | 2015-10-05 |
| Find all providers in zip 33714 | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831508241 | Autumn House | Assisted Living Facility | 880 17th Ave S, St Petersburg, FL 33701-5716 | 2014-08-11 |
| 1437572104 | Tectrust Incorporated | Assisted Living Facility | 434 4th St N, St Petersburg, FL 33701-2804 | 2014-01-30 |
| 1043642606 | Adrian Manor | Assisted Living Facility | 2168 9th Ave N, St Petersburg, FL 33713-7134 | 2013-08-06 |
| 1285075986 | Loving Care of St Petersburg | Assisted Living Facility | 1001 9th St N, St Petersburg, FL 33701-1514 | 2013-07-10 |
| 1386944064 | Alcove Retirement Center IIi | Assisted Living Facility | 2801 4th St N, St Petersburg, FL 33704 | 2010-10-27 |
| 1770742231 | Everlasting Grace Assisted Living Inc. | Assisted Living Facility | 1325 4th St N, St Petersburg, FL 33701-1117 | 2008-06-09 |
| 1194900985 | Gulf Coast Jewish Family Services | Assisted Living Facility | 3180 66th St N, St Petersburg, FL 33710-3165 | 2007-12-31 |
| 1164475067 | Shrinathji, Inc | Assisted Living Facility | 2349 Central Ave, St Petersburg, FL 33713-8845 | 2006-05-19 |
| 1053746107 | Mental Health Group of Greater Tampa Bay | Assisted Living Facility | 2349 Central Ave, St Petersburg, FL 33713-8845 | 2013-09-09 |
| 1942518501 | The Peacekeepers' Den Inc. | Assisted Living Facility | 1325 4th St N, St Petersburg, FL 33701-1117 | 2010-09-16 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33714 |
Please comment or provide details below to improve the information on AMELIA ASSISTED LIVING FACILITY, INC.
| 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.