GATEWAY MANOR (NPI# 1730528795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730528795 |
Entity Type | Organization |
Organization Name | GATEWAY MANOR |
Practice Address |
8320 14th Way N St Petersburg FL 33702-2838 |
Practice Telephone | 7275766069 |
Practice Fax Number | 7272897729 |
Mailing Telephone | 7275766069 |
Mailing Fax Number | 7272897729 |
Enumeration Date | 2013-06-22 |
Last Update Date | 2013-06-22 |
Authorized Official Name | ANN DANGAR (OWNER/ ADMINISTRATOR) |
Authorized Official Telephone | 7275766069 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 310400000X | Assisted Living Facility | AL9604 | FL | Nursing & Custodial Care Facilities |
Street Address |
8320 14TH WAY N |
City | ST PETERSBURG |
State | FL |
Zip Code | 33702-2838 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700419637 | Lea Diana Stemplewski | Occupational Therapist | 8950 Dr. Mlk Jr. St. North, Ste 190, St. Petersburg, FL 33702 | 2020-02-19 |
1366919557 | Svetlana Nagle | Nurse Practitioner | 10601 Gandy Blvd. N., 5305, St Petersburg, FL 33702 | 2018-10-25 |
1457835613 | Joseph Kirchmer | Physical Therapy Assistant | 7101 9th St N, St Petersburg, FL 33702 | 2018-09-23 |
1386135176 | Valencia Gibson | Behavior Technician | 8950 Doctor Martin Luther King Jr Street North, 190, Saint Petersburg, FL 33702 | 2018-05-29 |
1740778760 | Nicole S Kapr | Behavior Technician | 8950 Doctor Mlk Street North, 190, St. Petersburg, FL 33702 | 2018-04-25 |
1003316050 | Sonya Lesnefsky | Behavior Technician | 8950 Dr Mlk St N #190, Saint Petersburg, FL 33702 | 2018-02-16 |
1003315086 | Erin Nicole Rogers | Behavior Technician | 8950 Dr Mlk Jr St N, #190, St Petersburg, FL 33702 | 2018-02-06 |
1881192482 | Carrie Langbo | Genetic Counselor, MS | Informeddna, 877 Executive Center Drive W, Suite 206, St. Petersburg, FL 33702 | 2018-01-29 |
1891203485 | Healthy Lifestyles Tampa Bay LLC | Psychologist | 8479 Dr Martin Luther King Jr St N, St Petersburg, FL 33702 | 2018-01-17 |
1649787235 | Gurdeep Singh | Behavior Technician | 8950 Dr Mlk Street N, Suite 190, Saint Petersburg, FL 33702 | 2018-01-04 |
Find all providers in zip 33702 |
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 | 33702 |
Please comment or provide details below to improve the information on GATEWAY MANOR.
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.