LP ST. PETERSBURG, LLC (NPI# 1659694321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659694321 |
| Entity Type | Organization |
| Organization Name | LP ST. PETERSBURG, LLC |
| Other Organization Name | GOLFVIEW HEALTHCARE CENTER |
| Practice Address |
3636 10th Ave N St Petersburg FL 33713-6528 |
| Practice Telephone | 7273233611 |
| Practice Fax Number | 7273275802 |
| Mailing Telephone | 7273233611 |
| Mailing Fax Number | 7273275802 |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2012-03-01 |
| Authorized Official Name | MR. JOHN HARRISON (CFO) |
| Authorized Official Telephone | 5025687800 |
| Is Organization Subpart | Y |
| Parent Organization Name | LP O HOLDINGS II, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 313M00000X | Nursing Facility/Intermediate Care Facility | SNF11770962 | FL | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | SNF11770962 | FL | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Golfview Healthcare Center | Doing Business As Name - Organization |
| Street Address |
3636 10TH AVE N |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33713-6528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295723591 | Senior Care Golfview LLC | Skilled Nursing Facility | 3636 10th Ave N, St Petersburg, FL 33713-6528 | 2005-10-11 |
| 1508487117 | Leslie Derepentigny | Physical Therapy Assistant | 3636 10th Ave N, St Petersburg, FL 33713-6528 | 2020-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073122230 | Busy Bee Aba Therapy LLC | Assistant Behavior Analyst | 441 33rd Street North #407, St. Petersburg, FL 33713 | 2020-07-23 |
| 1902428899 | Taylor Lorraine Fowler | Behavior Technician | 7381 114th Ave, Suite 405 Largo Fl 33773, Suite 405, St. Petersburg, FL 33713 | 2020-05-13 |
| 1770120180 | Mai Family and Sedation Dentistry, Pa | Dentist | 495 31st Street North, St. Petersburg, FL 33713 | 2019-12-04 |
| 1932672524 | Julie Marlowe Gilbert | Dermatology | 2191 9th Ave North, Ste. 100, St. Petersburg, FL 33713 | 2019-01-07 |
| 1962992024 | Lauren Elizabeth Oloughlin | Nurse Practitioner | 1001 37th St N Ste C, St Petersburg, FL 33713 | 2018-05-15 |
| 1447766316 | Melanie Marie Byrne | Assistant Behavior Analyst | 5185 45th St N, Bldg C, St. Petersburg, FL 33713 | 2017-12-14 |
| 1942679683 | Teresa E Peak | Physician Assistant | 2191 9th Ave N St 220, St. Petersburg, FL 33713 | 2015-09-23 |
| 1639555204 | Priya Panara | Internal Medicine | 2299 9th Ave N Ste 1f, St Petersburg, FL 33713 | 2015-08-06 |
| 1730568635 | Kevin Michael Carbonell | Dentist | 3863 Central Avenue, Saint Petersburg, FL 33713 | 2015-05-26 |
| 1558752972 | Sage Program, LLC | Community/Behavioral Health | 3530 1st Avenue North, Suite 111, St. Petersbrug, FL 33713 | 2015-02-06 |
| Find all providers in zip 33713 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134138985 | Coquina Key Health Care Center, Inc. | Skilled Nursing Facility | 435 42nd Ave S, St Petersburg, FL 33705-4504 | 2006-08-07 |
| 1225046584 | Eagle Lake Foundation Inc | Skilled Nursing Facility | 1100 66th St N, St Petersburg, FL 33710-6224 | 2006-08-03 |
| 1467488981 | Suncoast Manor Retirement Community, Inc. | Skilled Nursing Facility | 1095 Pinellas Point Dr S, St Petersburg, FL 33705-6154 | 2006-06-25 |
| 1295723591 | Senior Care Golfview LLC | Skilled Nursing Facility | 3636 10th Ave N, St Petersburg, FL 33713-6528 | 2005-10-11 |
| 1225026818 | Saint Petersburg Snf LLC | Skilled Nursing Facility | 811 Jackson St N, St Petersburg, FL 33705-1238 | 2005-10-09 |
| 1013904234 | Bon Secours - Maria Manor Nursing Care Center LLC | Skilled Nursing Facility | 10300 4th St North, St Petersburg, FL 33716-3810 | 2005-10-03 |
| 1295722817 | Sovereign Healthcare of Pinellas Point, LLC | Skilled Nursing Facility | 5601 31st St S, St Petersburg, FL 33712-4605 | 2005-09-29 |
| 1740276385 | Snell Island Snf LLC | Skilled Nursing Facility | 4500 Indianapolis St Ne, St Petersburg, FL 33703-4317 | 2005-09-20 |
| 1811999881 | Scg Baywood LLC | Skilled Nursing Facility | 2000 17th Ave S, St Petersburg, FL 33712 | 2005-08-10 |
| 1932101987 | Scg Laurellwood LLC | Skilled Nursing Facility | 3127 57th Ave N, St Petersburg, FL 33714 | 2005-08-10 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33713 |
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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.