Toby Weinman Assisted Living Residence

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL10306 Issued in FL

Legal business name

TOBY WEINMAN ASSISTED LIVING RESIDENCE

Practice address

240 59TH St N
St Petersburg, FL 33710

Phone

(727) 345-2775

Fax

(727) 345-3957

NPI assigned

Mar 6, 2015

Organization subpart

Yes

Parent organization

MENORAH MANOR SENIOR LIVING LLCAs reported in NPPES

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

Authorized official

Name

Mrs. Donna Perryman, CPA

Title

Cfo

Phone

(727) 302-3702

Specialties & licenses 2

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Toby Weinman Assisted Living Residence

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

{
    "created_epoch": "1425600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530057600000",
    "number": "1235522889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 59TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337108539",
            "telephone_number": "727-345-2775",
            "fax_number": "727-345-3957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 59TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "33710",
            "telephone_number": "727-345-2775",
            "fax_number": "727-345-3957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOBY WEINMAN ASSISTED LIVING RESIDENCE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MENORAH MANOR SENIOR LIVING LLC",
        "enumeration_date": "2015-03-06",
        "last_updated": "2018-06-27",
        "status": "A",
        "authorized_official_last_name": "PERRYMAN",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "727-302-3702",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10306",
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010297800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.