GLADE GARDEN INC (NPI# 1861820540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861820540 |
| Entity Type | Organization |
| Organization Name | GLADE GARDEN INC |
| Practice Address |
5860 91st Ave N Pinellas Park FL 33782-4910 |
| Practice Telephone | 7272584537 |
| Practice Fax Number | 7275442716 |
| Mailing Telephone | 7272584537 |
| Mailing Fax Number | 7275442716 |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2013-10-16 |
| Authorized Official Name | ENA REDZIC (VICE PRESIDENT) |
| Authorized Official Telephone | 7275071934 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | AL12375 | FL | Nursing & Custodial Care Facilities |
| Street Address |
5860 91ST AVE N |
| City | PINELLAS PARK |
| State | FL |
| Zip Code | 33782-4910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831756709 | Komal Schulte | Physical Therapist | 6774 102nd Avenue North, Pinellas Park, FL 33782 | 2019-05-24 |
| 1023590056 | Emergency Physicians of Pinellas Pa | Emergency Medicine | 3070 Grand Blvd, Pinellas Park, FL 33782 | 2018-09-06 |
| 1083130470 | Jessica Walker | Counselor | 8800 49 Th St. North, Pinellas Park, FL 33782 | 2017-08-17 |
| 1124549225 | Raymond Weldon Williams | Counselor | 8800 49th St. North, Suite 106, Pinellas Park, FL 33782 | 2017-06-29 |
| 1477082832 | Yazmin Alyssa Rivera | Counselor | 8800 49 St N, Pinellas Park, FL 33782 | 2017-06-08 |
| 1134658560 | Tesia L Preston | Counselor | 8800 49th Street N, Suite 106, Pinellas Park, FL 33782 | 2017-06-08 |
| 1548799950 | Mannette Joseph | Counselor | 8800 49th St N Ste.106, Pinellas Park, FL 33782 | 2017-06-08 |
| 1902335318 | Jessie Lynn Weiner | Counselor | 8800 49th St. N Ste 106, Pinellas Park, FL 33782 | 2017-06-08 |
| 1366971772 | Socrates Sakolevidis | Counselor | 8800 49th St N Suite 106, Pinellas Park, FL 33782 | 2017-06-08 |
| 1992182810 | Dennis Charles Lane I | Counselor | 4050 4th St. N #121, St. Petersburg, FL 33782 | 2015-04-29 |
| Find all providers in zip 33782 | ||||
| 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 |
|---|---|---|---|---|
| 1932722139 | Sunrise Retirement Home LLC | Assisted Living Facility | 4201 70th Ave North, Pinellas Park, FL 33781 | 2020-05-21 |
| 1821625302 | Ba-r3l LLC | Assisted Living Facility | 7771 43rd St N, Pinellas Park, FL 33781-3621 | 2020-03-25 |
| 1417426438 | Paraiso Assisted Living Inc | Assisted Living Facility | 6174 97th Ter N, Pinellas Park, FL 33782-3119 | 2018-11-20 |
| 1508281171 | Nakos Inc. | Assisted Living Facility | 6285 71st St N, Pinellas Park, FL 33781-4833 | 2014-02-19 |
| 1528402229 | Nic 4 Bayside Terrace Leasing LLC | Assisted Living Facility | 9381 U.S. 19, Pinellas Park, FL 33782 | 2013-04-24 |
| 1962744276 | Willow Bay Health Inc. | Assisted Living Facility | 7575 65th Way N, Pinellas Park, FL 33781-3116 | 2013-03-25 |
| 1184962003 | Palm Lake Village Housing Corporation | Assisted Living Facility | 3800 62nd Ave N, Pinellas Park, FL 33781-6055 | 2013-01-28 |
| 1174868962 | Nurses Helping Hands | Assisted Living Facility | 7191 71st St. N., Pinellas Park, FL 33781 | 2012-12-05 |
| 1194015636 | Bimini Manor | Assisted Living Facility | 3791 67th Ave N, Pinellas Park, FL 33781-6174 | 2011-04-18 |
| 1801063227 | Al Investors of Pinellas Park, LLC | Assisted Living Facility | 9381 Us Highway 19 N, Pinellas Park, FL 33782-5410 | 2008-05-14 |
| Find all providers in PINELLAS PARK | ||||
| City | PINELLAS PARK |
| Zip Code | 33782 |
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| 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.