Active NPI
Arhc Alspgfl01 TRS, LLC
- Skilled Nursing Facility
- St Petersburg, FL
National Provider Identifier
1154200574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- ARHC ALSPGFL01 TRS, LLC
- Doing business as
- Addington Place at College Harbor
- Practice address
- 4600 54TH Ave S
St Petersburg, FL 33711-4664 - Phone
- (727) 866-3124
- NPI assigned
- Aug 29, 2025
- 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
- Michael Anderson
- Title
- Authorized Officer
- Phone
- (332) 258-8770
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
4600 54TH Ave S
St Petersburg, FL 33711-4664
Mailing address
2346 Post Rd Ste 100
Warwick, RI 02886-2217
Other names 1
- Addington Place at College Harbor
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251209001443 | FL | Part A Provider - Skilled Nursing Facility | 1557855442 | Practice locations: Saint Petersburg, FL |
Skilled nursing facility certification: CCN 105959
- Legal name
- ARHC ALSPGFL01 TRS, LLC
- Doing business as
- ADDINGTON PLACE AT COLLEGE HARBOR
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Jun 25, 1997
- Last certification
- Sep 5, 2024
- Beds
- 52
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- KR3 MGMT LLC
- Most recent change of ownership
- Oct 1, 2025
- Organization structure
- LLC
- Enrollment address
- 4600 54TH Avenue S
Saint Petersburg, FL 33711-4664 - Nursing home name
- ADDINGTON PLACE AT COLLEGE HARBOR
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Addington Place at College Harbor
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jun 25, 1997
- Medicare certification status
- Active
- Certified beds
- 52
National Provider Directory
National Provider DirectoryLocations
2346 Post Rd
Ste 100
Warwick, RI 02886
Ownership & related parties
All disclosed owners & managing parties 11
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Agewell Living, LLC | Operational/Managerial Control | Oct 1, 2025 | |
| Adp of the SNF | Oct 1, 2025 | ||
| Eric Morand | Operational/Managerial Control | Oct 1, 2025 | |
| Adp of the SNF | Oct 1, 2025 | ||
| Larry Landry | Adp of the SNF | May 28, 2026 | |
| Awsl Opco-College Harbor, LLC (a Subsidiary of Agewell Solvere Living) | Adp of the SNF | Oct 1, 2025 | |
| Amar Talati | Adp of the SNF | Oct 1, 2025 | |
| Mark Lichtenwalner | Adp of the SNF | May 28, 2026 | |
| Jie Chai | Corporate Officer | Oct 7, 2024 | |
| Adp of the SNF | May 28, 2026 | ||
| National Healthcare Properties Operating Partnership, LP | Adp of the SNF | May 28, 2026 | |
| Indirect Ownership Interest | Aug 26, 2014 | 100% | |
| National Healthcare Properties, Inc. | Adp of the SNF | Sep 30, 2014 | |
| Indirect Ownership Interest | Aug 26, 2014 | 100% | |
| Arhc TRS Holdco II, LLC | Direct Ownership Interest | Aug 27, 2014 | 100% |
| Awsl Holdings, LLC | Operational/Managerial Control | Oct 1, 2025 | |
| Adp of the SNF | Oct 1, 2025 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
Practitioners & affiliated clinicians
Affiliated clinicians 5
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Saint Petersburg, FL
- NPI 1871764977
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756425600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756425600000",
"number": "1154200574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2346 POST RD STE 100",
"city": "WARWICK",
"state": "RI",
"postal_code": "028862217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 54TH AVE S",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337114664",
"telephone_number": "727-866-3124"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARHC ALSPGFL01 TRS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-29",
"last_updated": "2025-08-29",
"certification_date": "2025-08-29",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "AUTHORIZED OFFICER",
"authorized_official_telephone_number": "332-258-8770"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Addington Place at College Harbor",
"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 Aug 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.