Organization Active NPI

G.a. Food Services of Pinellas County, LLC

  • Home Delivered Meals
  • St Petersburg, FL
National Provider Identifier
1114020401
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Delivered MealsTaxonomy code 332U00000X
License
CAT62-8770 Issued in FL
Legal business name
G.A. FOOD SERVICES OF PINELLAS COUNTY, LLC
Practice address
12200 32ND Court N.
St. Petersburg, FL 33716-1847
Phone
(727) 573-2211
Fax
(727) 572-8209
NPI assigned
Sep 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Authorized official

Name
Debra Silvers
Title
Chief Compliance Officer & GC
Phone
(727) 828-8585

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Delivered Meals 332U00000X
Home Delivered Meals 332U00000X CAT62-8770 FL Primary

Addresses

Primary practice location

12200 32ND Court N.
St. Petersburg, FL 33716-1847

Mailing address

12200 32ND Court N.
St. Petersburg, FL 33716-1847
Phone (727) 828-8585

Other identifiers 5

IdentifierTypeStateIssuer
287428316MedicaidGA
H445136MedicaidTN
287428316BOtherGASOURCE NUMBER
11050330MedicaidFL
382125100MedicaidFL

Other names 2

  • GA Food Services of Pinellas County, Inc. Former legal business name
  • GA Food Services of Pinellas County, LLC Other name

National Provider Directory

National Provider Directory

Locations

12200 32nd Ct N
St Petersburg, FL 33716
Phone (727) 573-2211

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699920000000",
    "number": "1114020401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12200 32ND COURT N.",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "337161847",
            "telephone_number": "727-828-8585",
            "fax_number": "727-571-1652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 32ND COURT N.",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "337161847",
            "telephone_number": "727-573-2211",
            "fax_number": "727-572-8209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G.A. FOOD SERVICES OF PINELLAS COUNTY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-05",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A",
        "authorized_official_last_name": "SILVERS",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER & GC",
        "authorized_official_telephone_number": "727-828-8585"
    },
    "taxonomies": [
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": "FL",
            "license": "CAT62-8770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "287428316",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H445136",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOURCE NUMBER",
            "identifier": "287428316B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11050330",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "382125100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GA Food Services of Pinellas County, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "GA Food Services of Pinellas County, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Nov 14, 2023; 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.