Carrington Place of St Pete, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

10760961 Issued in FL

Legal business name

CARRINGTON PLACE OF ST PETE, LLC

Practice address

10501 Roosevelt Blvd N
Saint Petersburg, FL 33716-3816

Phone

(727) 577-3800

Fax

(727) 577-8969

NPI assigned

May 25, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Lynda S Hebbeln

Title

Cfo

Phone

(727) 723-3000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Carrington Place Nursing & Rehabilitation Center Doing business as

Tax ID family

Candansk LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Candansk, LLC

  • Skilled Nursing Facility
  • Saint Petersburg, FL
  • NPI 1184677676
  NPD tax ID

Locations

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352246400000",
    "number": "1013963842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10501 ROOSEVELT BLVD N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337163816",
            "telephone_number": "727-577-3800",
            "fax_number": "727-577-8969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10501 ROOSEVELT BLVD N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337163816",
            "telephone_number": "727-577-3800",
            "fax_number": "727-577-8969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARRINGTON PLACE OF ST PETE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2012-11-07",
        "status": "A",
        "authorized_official_last_name": "HEBBELN",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "727-723-3000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "10760961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031552400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carrington Place Nursing & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jelessa Carr
• Vanessa Carr, MS RDN LDN
• Karelia Carralero Corella
• Maria T. Carranza, MT
• Patrick Andrew Carrier, MD
• Stephanie Carrington, LPN
• Stephen Charles Carrington, LMT
• Carrington'S Caring Angels
• Jennifer Elaine Carroll
• Leslie F Carroll, MD

• Skilled Nursing Facility in Saint Petersburg, FL
• Providers in Saint Petersburg, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; 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.