Organization Active NPI

Senior Care Golfview LLC

  • Skilled Nursing Facility
  • St Petersburg, FL
National Provider Identifier
1295723591
Registry record updated Nov 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
SNF11770962 Issued in FL
Legal business name
SENIOR CARE GOLFVIEW LLC
Practice address
3636 10TH Ave N
St Petersburg, FL 33713-6528
Phone
(727) 323-3611
Fax
(727) 327-5802
NPI assigned
Oct 11, 2005
Organization subpart
Yes
Parent organization
ADVOCAT INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 9, 2007

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

Authorized official

Name
Raymond L Tyler Jr.
Title
Executive Vice President and Coo
Phone
(615) 771-7575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X SNF11770962 FL Primary

Addresses

Primary practice location

3636 10TH Ave N
St Petersburg, FL 33713-6528

Mailing address

3636 10TH Ave N
St Petersburg, FL 33713-6528
Phone (727) 323-3611

Other names 1

  • Golfview Healthcare Center Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194566400000",
    "number": "1295723591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3636 10TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337136528",
            "telephone_number": "727-323-3611",
            "fax_number": "727-327-5802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 10TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337136528",
            "telephone_number": "727-323-3611",
            "fax_number": "727-327-5802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR CARE GOLFVIEW LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVOCAT INC.",
        "enumeration_date": "2005-10-11",
        "last_updated": "2007-11-09",
        "status": "A",
        "authorized_official_last_name": "TYLER",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT AND COO",
        "authorized_official_telephone_number": "615-771-7575",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF11770962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golfview Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 9, 2007; 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.