NPIMap

Organization Active NPI

Longleaf Alf LLC

  • Mental Illness Community Based Residential Treatment Facility
  • St Petersburg, FL
National Provider Identifier
1184029415
Registry record updated Oct 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
AL12564 Issued in FL
Legal business name
LONGLEAF ALF LLC
Practice address
3935 43Rd Ave N
Saint Petersburg, FL 33714-3620
Phone
(727) 289-5783
NPI assigned
Oct 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2014

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

Authorized official

Name
Tapan B Patel, ADMIN
Title
Manager
Phone
(727) 289-5783

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X AL12564 FL Primary

Addresses

Primary practice location

3935 43Rd Ave N
Saint Petersburg, FL 33714-3620

Mailing address

3935 43Rd Ave N
Saint Petersburg, FL 33714-3620
Phone (727) 289-5783

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414540800000",
    "number": "1184029415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3935 43RD AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337143620",
            "telephone_number": "727-289-5783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3935 43RD AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337143620",
            "telephone_number": "727-289-5783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGLEAF ALF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-29",
        "last_updated": "2014-10-29",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "TAPAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "727-289-5783",
        "authorized_official_credential": "ADMIN"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "FL",
            "license": "AL12564",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 29, 2014; 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.