CATHERINE MANOR, LLC (NPI# 1568755064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568755064 |
| Entity Type | Organization |
| Organization Name | CATHERINE MANOR, LLC |
| Other Organization Name | BAY PINES MANOR |
| Practice Address |
10591 Bay Pines Blvd St Petersburg FL 33708-3101 |
| Practice Telephone | 7273915965 |
| Practice Fax Number | 7273915965 |
| Mailing Telephone | 7273915965 |
| Mailing Fax Number | 7273915965 |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2011-05-17 |
| Authorized Official Name | MR. MICHAEL THOMAS GRADY (MANAGING MEMBER) |
| Authorized Official Telephone | 7274883520 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | AL7797 | FL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 142048800 | 05 |
| Other Name | Type Code |
|---|---|
| Bay Pines Manor | Doing Business As Name - Organization |
| Street Address |
10591 BAY PINES BLVD |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33708-3101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821580895 | Foundational Health Alf, Inc. | Assisted Living Facility | 10591 Bay Pines Blvd, St Petersburg, FL 33708-3101 | 2018-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023580545 | Caryn Lee Jackson-costello | Technician | 229h Medallion Boulevard, Madeira Beach, FL 33708 | 2018-12-21 |
| 1033566112 | Lori Ganim | Radiologic Technologist | 10000 Bay Pines Blvd North, St Petersburg, FL 33708 | 2016-05-19 |
| 1073929634 | Blake Burnett | Student in an Organized Health Care Education/Training Program | 9200 113th Street, Saint Petersburg, FL 33708 | 2014-07-03 |
| 1568876084 | Lori R Hassinger Pa | Optometrist | 10127 Bay Pines Blvd, Saint Petersburg, FL 33708 | 2014-06-12 |
| 1043596927 | Elizabeth Wedman-st. Louis | Dietitian, Registered | 17920 Gulf Blvd, Ste 606, Redington Shores, FL 33708 | 2011-10-24 |
| 1033492301 | Irina S Solonenko | Pharmacist | 674 E Welch Causeway, Madeira Beach, FL 33708 | 2011-09-23 |
| 1962630277 | Rebekah Anne Smith | Optometrist | 15037 Madeira Way, Madeira Beach, FL 33708 | 2009-06-25 |
| 1952535973 | Ronald A Luscomb | Nurse Practitioner | 16110 Redington Drive, Redington Beach, FL 33708 | 2009-05-05 |
| 1679753933 | We Care Home Health Inc | Home Health | 10911 53rd Av No, St Petersburg, FL 33708 | 2007-11-05 |
| 1740408798 | The Hoffman Clinic, P.a. | Acupuncturist | 13495 Gulf Boulevard, Madeira Beach, FL 33708 | 2007-04-23 |
| Find all providers in zip 33708 | ||||
| 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 |
|---|---|---|---|---|
| 1447873120 | Bankwell Senior Living | Assisted Living Facility | 3434 54th Ave South, St Petersburg, FL 33711-4751 | 2020-05-28 |
| 1457998874 | Crystal Maria Banks | Assisted Living Facility | 3434 2nd Ave S, St Petersburg, FL 33711-1308 | 2019-12-04 |
| 1841777919 | Kona 66 LLC | Assisted Living Facility | 3200 66th St N, St Petersburg, FL 33710-1511 | 2018-07-23 |
| 1952755571 | M & J Home Care | Assisted Living Facility | 1500 48th Ave N, St Petersburg, FL 33703-3528 | 2016-04-20 |
| 1548644503 | Safeaven, LLC | Assisted Living Facility | 5028 34th Ave N, St Petersburg, FL 33710-2116 | 2015-07-18 |
| 1235522889 | Toby Weinman Assisted Living Residence | Assisted Living Facility | 240 59th St N, St Petersburg, FL 33710 | 2015-03-06 |
| 1720477979 | Mary's Garden, Inc. | Assisted Living Facility | 6067 17th Ave N, St Petersburg, FL 33710-5637 | 2015-01-12 |
| 1780072785 | Lake View House LLC | Assisted Living Facility | 465 7th Ave N, St Petersburg, FL 33701-2354 | 2014-12-30 |
| 1699190090 | Alliance Care Enterprise of Florida | Assisted Living Facility | 343 4th Ave N, St Petersburg, FL 33701-2913 | 2014-02-22 |
| 1104240209 | Nancy Lee's Enterprises | Assisted Living Facility | 3461 64th St N, St Petersburg, FL 33710-1630 | 2014-02-10 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33708 |
Please comment or provide details below to improve the information on CATHERINE MANOR, 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.