Active NPI
G.a. Food Services of Pinellas County, LLC
- Home Delivered Meals
- St Petersburg, FL
National Provider Identifier
1114020401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Delivered Meals
- License
- CAT62-8770
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 287428316 | Medicaid | GA | |
| H445136 | Medicaid | TN | |
| 287428316B | Other | GA | SOURCE NUMBER |
| 11050330 | Medicaid | FL | |
| 382125100 | Medicaid | FL |
Other names 2
- GA Food Services of Pinellas County, Inc.
- GA Food Services of Pinellas County, LLC
National Provider Directory
National Provider DirectoryLocations
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.
-
- Registered Dietitian
- St Petersburg, FL
- NPI 1477430841
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"
}
]
}
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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.