SCG LAURELLWOOD LLC (NPI# 1932101987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932101987 |
| Entity Type | Organization |
| Organization Name | SCG LAURELLWOOD LLC |
| Other Organization Name | LAURELLWOOD NURSING CENTER |
| Practice Address |
3127 57th Ave N St Petersburg FL 33714 |
| Mailing Address |
1240 Marbella Plaza Dr Tampa FL 33619 |
| Practice Telephone | 7275272171 |
| Practice Fax Number | 7275225929 |
| Mailing Telephone | 8133412700 |
| Mailing Fax Number | 8133412755 |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2015-02-26 |
| Authorized Official Name | MR. DAVID ROSS VAUGHAN (CHAIRMAN OF THE BOARD) |
| Authorized Official Telephone | 8133412700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 031662800 | 05 |
| Other Name | Type Code |
|---|---|
| LaurellWood Nursing Center | Doing Business As Name - Organization |
| Street Address |
3127 57TH AVE N |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
| 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 |
| 1598135436 | Anne E. Roberts | Nurse Practitioner | 601 5th Street S., Suite #605, St. Petersburg, FL 33714-1326 | 2015-10-05 |
| 1871721233 | Patrick Richard Mullen | Social Worker | 3108 58th Ave N, Saint Petersburg, FL 33714-1331 | 2009-06-24 |
| 1205177151 | Jeffrey J Mirra | Registered Nurse | 3301 58th Ave N Lot 459, Saint Petersburg, FL 33714-1352 | 2013-03-01 |
| 1780202838 | Jillian Meaghan Lodico | Nurse Practitioner | 2721 60th Ave N, Saint Petersburg, FL 33714-1455 | 2020-07-06 |
| Find all providers in zip 33714 | ||||
| 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 |
| 1134125362 | Sa-st. Petersburg, LLC | Skilled Nursing Facility | 521 69th Ave N, St Petersburg, FL 33702-6810 | 2005-06-22 |
| 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.