Organization Active NPI

Nancy Lee'S Enterprises

  • Assisted Living Facility
  • St Petersburg, FL
National Provider Identifier
1104240209
Registry record updated Feb 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL 7642 Issued in FL
Legal business name
NANCY LEE'S ENTERPRISES
Practice address
3461 64TH St N
St Petersburg, FL 33710-1630
Phone
(727) 347-2979
Fax
(727) 347-8809
NPI assigned
Feb 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2014

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

Authorized official

Name
Mrs. Charlotte Theresa Bolander
Title
Administrator
Phone
(727) 347-2979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL 7642 FL Primary

Addresses

Primary practice location

3461 64TH St N
St Petersburg, FL 33710-1630

Mailing address

3461 64TH St N
St Petersburg, FL 33710-1630
Phone (727) 347-2979

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1391990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391990400000",
    "number": "1104240209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3461 64TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337101630",
            "telephone_number": "727-347-2979",
            "fax_number": "727-347-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3461 64TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337101630",
            "telephone_number": "727-347-2979",
            "fax_number": "727-347-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY LEE'S ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-10",
        "last_updated": "2014-02-10",
        "status": "A",
        "authorized_official_last_name": "BOLANDER",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_middle_name": "THERESA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "727-347-2979",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL 7642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 10, 2014; 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.