Parc Inc

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

PARC INC

Doing business as

PARC Cottages

Practice address

3101 76TH Way N
St Petersburg, FL 33710-2302

Phone

(727) 345-9111

Fax

(727) 345-7130

NPI assigned

Nov 1, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Mark Wayne Cavanaugh

Title

Owner

Phone

(727) 345-9111

Specialties & licenses 1

Addresses

Other names 1

• PARC Cottages Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 10G012

Legal name

PARC INC

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Nov 29, 1977

Last certification

Jun 12, 2024

Beds

16

Ownership / control type

Private (non-profit)

Facility address

3101 76TH Way N
Saint Petersburg, FL 33710

Tax ID family

Parc Cottages2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Parc Inc

  dba PARC Cottages

  • Intellectual Disabilities Intermediate Care Facility
  • St Petersburg, FL
  • NPI 1477680916
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Linda R Kaplan, D.P.M.

  • Podiatrist
  • Palm Harbor, FL
  • NPI 1487634671
  NPD (past)
• Brittney Anne Volpe

  • Behavior Technician
  • St Petersburg, FL
  • NPI 1083190540
  NPD (past)

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637712000000",
    "number": "1285399667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3190 75TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337102326",
            "telephone_number": "727-345-9111",
            "fax_number": "727-345-7130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 76TH WAY N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337102302",
            "telephone_number": "727-345-9111",
            "fax_number": "727-345-7130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "status": "A",
        "authorized_official_last_name": "CAVANAUGH",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-345-9111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PARC Cottages",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Linda Jean Pappalardo, DNP, NP-C
• Carol Lynn Pappas, MD PHD
• Parafisio LLC (Parafisio)
• Nektaria Paraskevopoulos, D.O.
• Arvind Rama Parbhoo, MD
• Parc Inc (PARC Cottages)
• Emmanuel Pardo, MD
• Jenna Lynn Pareti, PA-C
• Mary Kathryn Parham, FNP, PMHNP, APRN
• Timothy Richard Parham, RPH.

• Intellectual Disabilities Intermediate Care Facility in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Intellectual Disabilities Intermediate Care Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.