THE PEACEKEEPERS' DEN INC. (NPI# 1942518501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942518501 |
| Entity Type | Organization |
| Organization Name | THE PEACEKEEPERS' DEN INC. |
| Practice Address |
1325 4th St N St Petersburg FL 33701-1117 |
| Mailing Address |
747 Bon Air St Lakeland FL 33805-4631 |
| Practice Telephone | 7278234376 |
| Practice Fax Number | 7278222334 |
| Mailing Telephone | 8636881196 |
| Mailing Fax Number | 8636877707 |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2010-09-16 |
| Authorized Official Name | MS. PIER GASMENA (PRES) |
| Authorized Official Telephone | 8635957353 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
Nursing & Custodial Care Facilities | ||
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Street Address |
1325 4TH ST N |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33701-1117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770742231 | Everlasting Grace Assisted Living Inc. | Assisted Living Facility | 1325 4th St N, St Petersburg, FL 33701-1117 | 2008-06-09 |
| 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 |
| Find all providers in zip 33701 | ||||
| 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 | 33701 |
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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.