NPIMap

Organization Active NPI

Cplace of St. Pete, LLC

Doing business as Carrington Place of St. Pete

  • Skilled Nursing Facility
  • St Petersburg, FL
National Provider Identifier
1114217114
Registry record updated Apr 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CPLACE OF ST. PETE, LLC
Doing business as
Carrington Place of St. Pete
Practice address
10501 Roosevelt Blvd N
St Petersburg, FL 33716-3816
Phone
(727) 577-3800
Fax
(727) 578-5255
NPI assigned
Apr 11, 2011
Last updated
Apr 11, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2011

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

Authorized official

Name
Ms. Lynda S. Hebbeln
Title
Cfo
Phone
(727) 723-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X FL Primary

Addresses

Primary practice location

10501 Roosevelt Blvd N
St Petersburg, FL 33716-3816

Mailing address

10501 Roosevelt Blvd N
St Petersburg, FL 33716-3816
Phone (727) 577-3800

Other identifiers 1

IdentifierTypeStateIssuer
315524MedicaidFL

Other names 1

  • Carrington Place of St. Pete Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110609000800 FL Part A Provider - Skilled Nursing Facility 2466639968 Practice locations: St Petersburg, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114217114. Details of each certification follow.

Skilled nursing facility certification: CCN 105616

Legal name
CPLACE OF ST. PETE, LLC
Doing business as
CARRINGTON PLACE OF ST PETE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 30, 1989
Last certification
Mar 27, 2025
Beds
120
Ownership / control type
Corporation
Multi-facility organization
ARK Post Acute Network
Most recent change of ownership
Jun 1, 2011
Organization structure
LLCProprietary
Incorporated
Apr 8, 2011 in FL
Enrollment address
10501 Roosevelt Blvd N
St Petersburg, FL 33716-3816

Care Compare: Nursing home

Medicare Care Compare
Listed as
Brighton Bay Center for Rehabilitation and HealingCCN 105616 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 30, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120107.2 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0898419Cplace of St Pete, LLC10501 Roosevelt Blvd N, Saint Petersburg, FL 33716Certificate of waiverMar 1, 2027

National Provider Directory

National Provider Directory

Networks

  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
  • Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Ark Post Acute Network LLC Organization, Clearwater, FL LLC Operational/Managerial Control Jan 1, 2021 100%
Kimberly a Justiniano Individual Corporate OfficerCfo Mar 1, 2020 25%
Cplace of Florida Holding Group LLC Organization, Clearwater, FL Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Apr 30, 2013 100%
Roy B Bridges Individual Corporate OfficerCeo Mar 1, 2020 25%
Suresh Pai Individual W-2 Managing EmployeeNursing Home Administrator Dec 13, 2021 25%

Facilities with the same owner 6

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 7

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302480000000",
    "number": "1114217114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10501 ROOSEVELT BLVD N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337163816",
            "telephone_number": "727-577-3800",
            "fax_number": "727-578-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10501 ROOSEVELT BLVD N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337163816",
            "telephone_number": "727-577-3800",
            "fax_number": "727-578-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CPLACE OF ST. PETE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-11",
        "last_updated": "2011-04-11",
        "status": "A",
        "authorized_official_last_name": "HEBBELN",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "727-723-3000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "315524",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carrington Place of St. Pete",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.