SUNCOAST MANOR RETIREMENT COMMUNITY INC (NPI# 1720467210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720467210 |
| Entity Type | Organization |
| Organization Name | SUNCOAST MANOR RETIREMENT COMMUNITY INC |
| Other Organization Name | WESTMINSTER SUNCOAST |
| Practice Address |
1095 Pinellas Point Dr S St Petersburg FL 33705-6154 |
| Practice Telephone | 7278671131 |
| Practice Fax Number | 7278668742 |
| Mailing Telephone | 7278671131 |
| Mailing Fax Number | 7278668742 |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2015-05-29 |
| Authorized Official Name | MR. HENRY T KEITH (SR VICE PRESIDENT & CFO) |
| Authorized Official Telephone | 4078395050 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | AL6535 | FL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 021270900 | 05 |
| Other Name | Type Code |
|---|---|
| Westminster Suncoast | Doing Business As Name - Organization |
| Street Address |
1095 PINELLAS POINT DR S |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33705-6154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467488981 | Suncoast Manor Retirement Community, Inc. | Skilled Nursing Facility | 1095 Pinellas Point Dr S, St Petersburg, FL 33705-6154 | 2006-06-25 |
| 1841838653 | Elizabeth Jean Knight | Nurse Practitioner | 1095 Pinellas Point Dr S, St Petersburg, FL 33705-6154 | 2019-12-12 |
| 1639655426 | Todd Feldman | Physician Assistant | 1095 Pinellas Point Dr S, St Petersburg, FL 33705-6154 | 2018-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935781 | Caressa Alice Slocum | Psychologist | 840 Dr M.l.k. Jr St N, St. Petersburg, FL 33705 | 2020-09-01 |
| 1386133015 | Angela Ann Little | Social Worker | 920 Country Club Way S, St Petersburg, FL 33705 | 2018-05-08 |
| 1497279483 | Infinity Health Consultants, LLC. | In Home Supportive Care | 1001 27th Avenue South, St. Petersburg, FL 33705 | 2017-08-01 |
| 1801320528 | Dedicated Senior Medical Center St. Petersburg, LLC. | Non-Pharmacy Dispensing Site | 901 22nd Avenue South, Dedicated Senior Medical Center St. Petersburg, LLC., St. Petersburg, FL 33705 | 2017-04-19 |
| 1790135762 | Robin Dong | Emergency Medicine | 1095 5th Ave N, St. Petersburg, FL 33705 | 2016-06-20 |
| 1437550084 | Community Health Center of Pinellas Inc | Clinic/Center | 612 Dr Martin L King St N, St Petersburg, FL 33705 | 2014-09-12 |
| 1164851754 | Jennifer Carey | Counselor | 11 Mlk Jr St South, St. Petersburg, FL 33705 | 2013-11-05 |
| 1750623997 | Dannaly Reyes Baerga | Physical Medicine & Rehabilitation | 1201 5th Ave N Ste 202, St Petersburg, FL 33705 | 2013-03-26 |
| 1518209055 | Nii Sai Torto | Emergency Medicine | 500 Doctor. M.l.k, Jr. Street North, Ste 303, Saint Petersburg, FL 33705 | 2013-03-22 |
| 1790034635 | Melissa White Kidwell | Physical Therapist | 500 Mlking Street N, Ste 100, St. Petersburg, FL 33705 | 2012-09-06 |
| Find all providers in zip 33705 | ||||
| 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 | 33705 |
Please comment or provide details below to improve the information on SUNCOAST MANOR RETIREMENT COMMUNITY 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.