Organization Active NPI

A Tropical Paradise Alf LLC

  • Assisted Living Facility
  • St. Petersburg, FL
National Provider Identifier
1174965040
Registry record updated Mar 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
A TROPICAL PARADISE ALF LLC
Practice address
5228 23Rd Ave N
St. Petersburg, FL 33710
Phone
(727) 498-6262
Fax
(727) 291-0252
NPI assigned
Jul 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2022

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

Authorized official

Name
Igor Meinichuk
Title
Alf Owner
Phone
(727) 498-6262

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 11367 FL
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

5228 23Rd Ave N
St. Petersburg, FL 33710

Mailing address

5228 23Rd Ave N
St. Petersburg, FL 33710
Phone (727) 498-6262

Other identifiers 1

IdentifierTypeStateIssuer
110402300MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1374364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648252800000",
    "number": "1174965040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5228 23RD AVE N",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "33710",
            "telephone_number": "727-498-6262",
            "fax_number": "727-291-0252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5228 23RD AVE N",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "33710",
            "telephone_number": "727-498-6262",
            "fax_number": "727-291-0252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A TROPICAL PARADISE ALF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-21",
        "last_updated": "2022-03-26",
        "certification_date": "2022-03-26",
        "status": "A",
        "authorized_official_last_name": "MEINICHUK",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "ALF OWNER",
        "authorized_official_telephone_number": "727-498-6262"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "11367",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110402300",
            "state": "FL"
        }
    ],
    "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 Mar 26, 2022; 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.