TRACOLE LLC


Address: 694 17th Ave S, St Petersburg, FL 33701-5820
Phone: 7276865302

TRACOLE LLC (NPI# 1699241687) 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) 1699241687
Entity Type Organization
Organization Name TRACOLE LLC
Practice Address 694 17th Ave S
St Petersburg
FL 33701-5820
Mailing Address 1174 54th Ave S
Saint Petersburg
FL 33705-5006
Practice Telephone 7276865302
Mailing Telephone 7279001170
Enumeration Date 2018-10-17
Last Update Date 2018-10-17
Authorized Official Name MS. NECOLE TUNSIL (DIRECTOR)
Authorized Official Telephone 7279001170
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities

Other Provider/Organization Names

Other Name Type Code
TraCole Inc Doing Business As Name - Organization

Office Location

Street Address 694 17TH AVE S
City ST PETERSBURG
State FL
Zip Code 33701-5820

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013514603 Tien Thuy Hoang Pharmacist 875 Dr M.l.k. Jr St N, St. Petersburg, FL 33701 2020-10-06
1851920953 Michelle Tedrowe Student in an Organized Health Care Education/Training Program Bayfront Health St Petersburg Family Care Center, 700 6th Street South, St. Petersburg, FL 33701 2020-04-02
1164070264 Melissa Joy Fitzpatrick Occupational Therapist 239 14 Ave Ne, St Petersburg, FL 33701 2019-09-01
1841763091 William Carpenter Scott Dentist 239 2nd Ave S # 100, St Petersburg, FL 33701 2019-01-09
1992289318 Westminster Senior Services, Inc. Registered Nurse 830 North Shore Dr. Ne, St. Petersburg, FL 33701 2018-09-21
1265929780 B&b Florida Eye Care Pllc Optometrist 1380 4th St N, St. Petersburg, FL 33701 2018-04-19
1730684895 Loraine Marie Torres Garcia Student in an Organized Health Care Education/Training Program Bayfront Health St Petersburg, 700 6th Street South, St Petersburg, FL 33701 2018-03-29
1598267445 Vincent Malik Dehili Psychologist 146 2nd Street North, Suite 305, St. Petersburg, FL 33701 2018-03-07
1770083073 Megan Sanborn Nurse Practitioner 601 5th St S Ste 304, St Petersburg, FL 33701 2018-02-14
1174037089 Julius Griffin Licensed Practical Nurse 1115 Highland St N, Apt B, Saint Petersburg, FL 33701 2017-11-30
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Taxonomy Information

Taxonomy Code 320600000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144583196 Alpha House Assisted Living Facility-transitional Housing, Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 2835 Valencia Way S, St Petersburg, FL 33705-3635 2012-06-24
1922389907 M&j Home Care, Inc Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 5200 17th St N, St Petersburg, FL 33714-2706 2011-09-02
1891394722 Trowbridge A.g. LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 5028 34th Ave N, St Petersburg, FL 33710-2116 2020-10-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1891396461 Hillendale Cares LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 27357 Frampton Ave, Brooksville, FL 34602-7306 2020-11-02
1699375485 Violange Joseph Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 3310 Sw Frankford St, Port St Lucie, FL 34953-4937 2020-10-29
1407468986 Winchester Oaks Corporation Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 871 Winchester St, Daytona Beach, FL 32114-1977 2020-08-17
1609486844 Aclaris Care Home, Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 7711 N Rome Ave, Tampa, FL 33604-4615 2020-08-03
1386253987 Rosa Estela Companioni Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 6704 Commodore Way, Tampa, FL 33615-5810 2020-07-29
1972121192 Victorian Manor, Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 11150 Sw 42nd Ct, Davie, FL 33328-2140 2020-07-14
1881233716 Elizabeth Stapleton Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 4628 25th St Sw, Lehigh Acres, FL 33973-6161 2019-12-23
1689217887 Angelchild Homecare Corp Inc Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1641 Sunset Point Rd, Clearwater, FL 33755-1657 2019-10-21
1659927325 Coby Cares Corporation Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1754 Barnstable Rd, Wellington, FL 33414-6143 2019-08-17
1518520725 Freshen Schammua Docile Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 9097 Sw 4th St, Boca Raton, FL 33433-4607 2019-04-15
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Competitor

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City ST PETERSBURG
Zip Code 33701

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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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