Arc Bay Pines, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ARC BAY PINES, INC.

Doing business as

Freedom Inn at Bay Pines

Practice address

9797 Bay Pines Blvd
St Petersburg, FL 33708-3775

Phone

(727) 398-5090

Fax

(727) 397-2571

NPI assigned

Nov 17, 2010

Last updated

Nov 17, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark Ohlendorf

Title

President

Phone

(414) 918-5000

Specialties & licenses 1

Addresses

Other names 1

• Freedom Inn at Bay Pines Doing business as

Locations

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

{
    "created_epoch": "1289952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289952000000",
    "number": "1053612481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6767 W WASHINGTON ST",
            "address_2": "SUITE 2300",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532145644",
            "telephone_number": "414-918-5000",
            "fax_number": "414-918-5054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9797 BAY PINES BLVD",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337083775",
            "telephone_number": "727-398-5090",
            "fax_number": "727-397-2571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARC BAY PINES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-17",
        "last_updated": "2010-11-17",
        "status": "A",
        "authorized_official_last_name": "OHLENDORF",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-918-5000"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Freedom Inn at Bay Pines",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; 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.