HOUSE OF BOSTICS LLC (THE) (NPI# 1447870266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447870266 |
| Entity Type | Organization |
| Organization Name | HOUSE OF BOSTICS LLC (THE) |
| Practice Address |
3586 53rd Ave N Saint Petersburg FL 33714-2412 |
| Practice Telephone | 7275507076 |
| Practice Fax Number | 7273299031 |
| Mailing Telephone | 7275507076 |
| Mailing Fax Number | 7273299031 |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2020-06-17 |
| Authorized Official Name | SHALONDRIA N BOSTIC (ADMINISTRATOR) |
| Authorized Official Telephone | 7275507076 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities | ||
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
Nursing & Custodial Care Facilities |
| Street Address |
3586 53RD AVE N |
| City | SAINT PETERSBURG |
| State | FL |
| Zip Code | 33714-2412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467417857 | Florida Hhc Corp. | Assisted Living Facility | 3586 53rd Ave N, Saint Petersburg, FL 33714-2412 | 2006-04-19 |
| 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 |
|---|---|---|---|---|
| 1861828394 | Touched By Faith Inc | Assisted Living Facility | 351 15th St N, Saint Petersburg, FL 33705-2015 | 2013-09-16 |
| 1295136190 | Valmar Enterprises | Assisted Living Facility | 531 8th St N, Saint Petersburg, FL 33701-2110 | 2014-09-10 |
| 1548443856 | Shrinathji, Inc. | Assisted Living Facility | 2349 Central Ave, Saint Petersburg, FL 33713-8845 | 2007-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910200 | Darielle Shanette Berrian | Assisted Living Facility | 1548 Georgetown Dr, Lakeland, FL 33811 | 2020-07-23 |
| 1003434028 | Carolyn Clanton Alf LLC | Assisted Living Facility | 1146 Hamilton Ave, Jennings, FL 32053-2253 | 2020-07-07 |
| 1356964555 | Cordoba Alf LLC | Assisted Living Facility | 1135 Sw 100th Ct, Miami, FL 33174-2848 | 2020-05-21 |
| 1205461563 | Alegria Alf LLC | Assisted Living Facility | 1150 Sw 103rd Ct, Miami, FL 33174-2759 | 2020-03-06 |
| 1134764368 | Aum Haven LLC | Assisted Living Facility | 2763 Carmel Ct, Kissimmee, FL 34746-3268 | 2019-11-12 |
| 1275180515 | 1161 Cambridge LLC | Assisted Living Facility | 1161 W 2nd St, Riviera Beach, FL 33404-7627 | 2019-08-21 |
| 1386291623 | Cambridge 13 LLC | Assisted Living Facility | 1560 W 13th St, Riviera Beach, FL 33404-6521 | 2019-08-21 |
| 1851948418 | 3411 Ave Cambridge LLC | Assisted Living Facility | 3411 Avenue H E, Riviera Beach, FL 33404-2101 | 2019-08-19 |
| 1326694308 | W 2nd Cambridge LLC | Assisted Living Facility | 570 W 2nd St, Riviera Beach, FL 33404-7616 | 2019-08-14 |
| 1154976512 | Quality Health Care of Florida.llc | Assisted Living Facility | 1250 Nw 122nd Ave, Plantation, FL 33323-2420 | 2019-08-02 |
| Find all providers with the same taxonomy | ||||
| City | SAINT PETERSBURG |
| Zip Code | 33714 |
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| 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.