Saint Petersburg SNF LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF1250095 Issued in FL

Legal business name

SAINT PETERSBURG SNF LLC

Doing business as

Bayside Rehabilitation and Health Center

Practice address

811 Jackson St N
St Petersburg, FL 33705-1238

Phone

(727) 209-3600

Fax

(727) 821-2453

NPI assigned

Oct 9, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Ron Ostroff

Title

Authorized Member

Phone

(305) 733-3615

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bayside Rehabilitation and Health Center Doing business as

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

{
    "created_epoch": "1128816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1225026818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 JACKSON ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051238",
            "telephone_number": "727-209-3600",
            "fax_number": "727-821-2453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 JACKSON ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051238",
            "telephone_number": "727-209-3600",
            "fax_number": "727-821-2453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT PETERSBURG SNF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-09",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "OSTROFF",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "AUTHORIZED MEMBER",
        "authorized_official_telephone_number": "305-733-3615",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF1250095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030879000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayside Rehabilitation and Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sailfuture
• Caleb Saint Jean, O.D.
• Saint Pete Sleep Diagnostics LLC
• Saint Petersburg Interventional Pain Management LLC
• Saint Petersburg Neurology Clinic
• Saint Petersburg SNF LLC (Bayside Rehabilitaiton and Health Center)
• Saira Psychology LLC
• Imran Sajan, MD
• Kristin Leah Sakadales
• Helen Katerina Sakis, BA

• Skilled Nursing Facility in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.