NPIMap

Organization Active NPI

Suncoast Center for Community Mental Health

Doing business as Suncoast Center Senior Support

  • Case Management Agency
  • St Petersburg, FL
National Provider Identifier
1063670800
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
SUNCOAST CENTER FOR COMMUNITY MENTAL HEALTH
Doing business as
Suncoast Center Senior Support
Practice address
3800 Central Ave
St Petersburg, FL 33711-1237
Phone
(727) 323-2528
Fax
(727) 323-2521
NPI assigned
May 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2008

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

Authorized official

Name
Ms. Barbara Daire
Title
Chief Executive Officer
Phone
(727) 327-7656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

3800 Central Ave
St Petersburg, FL 33711-1237

Mailing address

3800 Central Ave
St Petersburg, FL 33711-1237
Phone (727) 323-2528

Other identifiers 1

IdentifierTypeStateIssuer
670728900MedicaidFL

Other names 1

  • Suncoast Center Senior Support Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Suncoast Center Inc23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1063670800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 CENTRAL AVE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337111237",
            "telephone_number": "727-323-2528",
            "fax_number": "727-323-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 CENTRAL AVE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337111237",
            "telephone_number": "727-323-2528",
            "fax_number": "727-323-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNCOAST CENTER FOR COMMUNITY MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "DAIRE",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "727-327-7656",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "670728900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Suncoast Center Senior Support",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; 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.