Mederi of Pinellas County, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

21923096 Issued in FL

Legal business name

MEDERI OF PINELLAS COUNTY, INC

Practice address

7800 66TH St
Suite 206
Pinellas Park, FL 33781-2168

Phone

(727) 546-8080

Fax

(727) 546-8010

NPI assigned

Sep 23, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. C. Steven Guenthner

Title

Sr VP, Cfo

Phone

(502) 891-1000

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003802158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9510 ORMSBY STATION RD",
            "address_2": "SUITE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234081",
            "telephone_number": "502-891-1000",
            "fax_number": "502-891-8067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 66TH ST",
            "address_2": "SUITE 206",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337812168",
            "telephone_number": "727-546-8080",
            "fax_number": "727-546-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDERI OF PINELLAS COUNTY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GUENTHNER",
        "authorized_official_first_name": "C.",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "SR VP, CFO",
        "authorized_official_telephone_number": "502-891-1000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "21923096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS-BLUE SHIELD",
            "identifier": "JC8",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Pinellas Park, FL
• Providers in Pinellas Park, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.