Organization Active NPI

Ism Opco L.L.C.

  • Assisted Living Facility
  • Saint Petersburg, FL
National Provider Identifier
1194552836
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
ISM OPCO L.L.C.
Practice address
1701 68TH St N
Saint Petersburg, FL 33710-8744
Phone
(813) 447-9260
NPI assigned
Sep 17, 2024
Organization subpart
Yes
Parent organization
ISM OPCO L.L.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Authorized official

Name
Mr. Alcides Segui Sr.
Title
President
Phone
(813) 447-9260

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1701 68TH St N
Saint Petersburg, FL 33710-8744

Mailing address

1701 68TH St N
Saint Petersburg, FL 33710-8744
Phone (813) 447-9260

Other names 1

  • Arbor Oaks Assisted Living Facility Doing business as

National Provider Directory

National Provider Directory
Part of
Ism Opco LLC

NPI Registry JSON

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

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1194552836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 68TH ST N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337108744",
            "telephone_number": "813-447-9260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 68TH ST N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337108744",
            "telephone_number": "813-447-9260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISM OPCO L.L.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ISM OPCO L.L.C.",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "SEGUI",
        "authorized_official_first_name": "ALCIDES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-447-9260",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arbor Oaks Assisted Living Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.