Bon Secours St Petersburg Home Care Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BON SECOURS ST PETERSBURG HOME CARE SERVICES LLC

Practice address

11001 Roosevelt Blvd N Ste 100
St Petersburg, FL 33716-2344

Phone

(727) 577-7990

Fax

(727) 576-6138

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Kimberly Ralston

Title

VP Reimbursement

Phone

(419) 996-5119

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Bon Secours Homecare Services Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Compassus BSMH St. Petersburg HHA II, LLC

  • Home Health Agency
  • St Petersburg, FL
  • NPI 1427876341

  Sold to, 2024-07-01

  CMS change of ownership

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Bon Secours St Petersburg Home Care Services LLC

  • Home Health Agency
  • Sun City, FL
  • NPI 1497983407
  NPPES parent name

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1295847341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631118",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452631118",
            "telephone_number": "513-952-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11001 ROOSEVELT BLVD N STE 100",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337162344",
            "telephone_number": "727-577-7990",
            "fax_number": "727-576-6138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BON SECOURS ST PETERSBURG HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "RALSTON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "VP REIMBURSEMENT",
        "authorized_official_telephone_number": "419-996-5119"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME HEALTH LICENSE",
            "identifier": "299992508",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME HEALTH LICENSE",
            "identifier": "2999992508",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bon Secours Homecare Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bon Secours Homecare Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lindsay Ann Bolt, AUD
• Bolting to Bloom Inc
• Anirudh Reddy Bommireddy
• Bon Secours - Maria Manor Nursing Care Center LLC
• Bon Secours Place at St Petersburg LLC
• Bon-Bone Medical Imaging, Inc.
• Bond W Thomas DC PA
• Sandra Lynn Bond
• Adriana Bonilla, O.T
• Eileen D Bonilla, LMHC

• Home Health Agency in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.