IMPERIAL LIVNG INC (NPI# 1215568985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215568985 |
| Entity Type | Organization |
| Organization Name | IMPERIAL LIVNG INC |
| Practice Address |
2820 39th Ave N St Petersburg FL 33714-4524 |
| Practice Telephone | 7276575767 |
| Mailing Telephone | 7276575767 |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2020-01-30 |
| Authorized Official Name | MS. NISA N CARABALLO (COO) |
| Authorized Official Telephone | 7275128465 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| Y | 251E00000X | Home Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 100285000 | 05 |
| Other Name | Type Code |
|---|---|
| Imperial Livng Inc | Doing Business As Name - Organization |
| Street Address |
2820 39TH AVE N |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33714-4524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780134601 | Andrew Lee Coet | Behavioral Analyst | 5185 45th St. N, Bldg C, St Petersburg, FL 33714 | 2016-10-04 |
| 1316323827 | Krystian Sarkady | Marriage & Family Therapist | 3959 52nd Ave N, Saint Petersburg, FL 33714 | 2015-08-06 |
| 1932101987 | Scg Laurellwood LLC | Skilled Nursing Facility | 3127 57th Ave N, St Petersburg, FL 33714 | 2005-08-10 |
| 1225237100 | Springfield Development Company | Durable Medical Equipment & Medical Supplies | 5528 Haines Rd N, St Petersburg, FL 33714-0000 | 2007-07-12 |
| 1114323961 | Danang Pharmacy LLC | Pharmacy | 5944 34th St N Ste 1, Saint Petersburg, FL 33714-1211 | 2014-11-06 |
| 1326664913 | Lananh Doan | Pharmacist | 5944 34th St N Ste 1, Saint Petersburg, FL 33714-1211 | 2020-06-19 |
| 1073910410 | Britten Moyers | Counselor | 3455 58th Ave N, St Petersburg, FL 33714-1226 | 2014-12-01 |
| 1407355084 | Laurellwood Facility Inc | Skilled Nursing Facility | 3127 57th Ave N, St Petersburg, FL 33714-1320 | 2018-02-08 |
| 1871580894 | Scg Laurellwood, LLC | Skilled Nursing Facility | 3127 57th Ave N, St Petersburg, FL 33714-1320 | 2005-10-04 |
| 1598135436 | Anne E. Roberts | Nurse Practitioner | 601 5th Street S., Suite #605, St. Petersburg, FL 33714-1326 | 2015-10-05 |
| Find all providers in zip 33714 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174135727 | K2d3 Enterprise LLC | Home Health | 5959 Central Ave Ste 403, St Petersburg, FL 33710-8502 | 2020-08-17 |
| 1073121471 | Aloe At Home LLC | Home Health | 835 Newton Ave S, St Petersburg, FL 33701-5325 | 2020-07-21 |
| 1144842162 | Jilliann Rae Lunn | Home Health | 3520 56th Ave N, St Petersburg, FL 33714-1849 | 2020-05-13 |
| 1376175208 | David Phandara | Home Health | 3031 14th St N, St Petersburg, FL 33704-1914 | 2020-02-09 |
| 1659923472 | Covenant Home Health Care 5, LLC | Home Health | 2546 22nd Ave N, St Petersburg, FL 33713-4311 | 2019-07-11 |
| 1407415839 | Helping Hands Priority Home Care Services, Inc | Home Health | 295 15th St N, St Petersburg, FL 33705-2013 | 2019-06-10 |
| 1730646605 | Gulf Breeze Home Health, Inc. | Home Health | 111 2nd Ave N Ste 355, St Petersburg, FL 33701-3315 | 2019-02-26 |
| 1518424910 | Florida Homecare Specialists Minority Corp | Home Health | 1211 1st Ave N. Mezzanine Ste 215, St Petersburg, FL 33705-1567 | 2019-02-22 |
| 1639633175 | Harmony Garden, LLC | Home Health | 4601 6th Ave S, St Petersburg, FL 33711-1801 | 2019-01-29 |
| 1831662022 | Provident Home Care, Inc. | Home Health | 4934 17th Ave N, St Petersburg, FL 33710-5202 | 2019-01-10 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33714 |
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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.