MORNINGSTAR ASSISTED LIVING, LLC (NPI# 1720329063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720329063 |
| Entity Type | Organization |
| Organization Name | MORNINGSTAR ASSISTED LIVING, LLC |
| Other Organization Name | BAYTREE LAKESIDE |
| Practice Address |
6411 46th Ave N St Petersburg FL 33709-3105 |
| Mailing Address |
17920 Gulf Blvd Apt 703 Redington Shores FL 33708-1143 |
| Practice Telephone | 7275450623 |
| Practice Fax Number | 7275442416 |
| Mailing Telephone | 3609209598 |
| Mailing Fax Number | 7279140410 |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2017-12-18 |
| Authorized Official Name | LAURA GOICU (OWNER) |
| Authorized Official Telephone | 3609209598 |
| Is Organization Subpart | Y |
| Parent Organization Name | MORNINGSTAR ASSISTED LIVING, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 6773 | FL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 008294100 | 05 |
| Other Name | Type Code |
|---|---|
| Baytree Lakeside | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700392453 | Morningstar Assisted Living, LLC | Assisted Living Facility | 17421 Se 109th Terrace Rd, Summerfield, FL 34491-8928 | 2017-12-18 |
| 1538456272 | Morningstar Assisted Living, LLC | Assisted Living Facility | 7600 78th Ave N, Pinellas Park, FL 33781-1800 | 2011-07-01 |
| Street Address |
6411 46TH AVE N |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33709-3105 |
| 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 |
|---|---|---|---|---|
| 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 | 33709 |
Please comment or provide details below to improve the information on MORNINGSTAR ASSISTED LIVING, 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.