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 Rehabilitaiton and Health Center

Practice address

811 Jackson St N
St Petersburg, FL 33705-1238

Phone

(727) 209-3600

Fax

(727) 821-2453

NPI assigned

Jul 12, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Tzvi Bogomilsky

Title

Authorized Official

Phone

(305) 401-7901

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bayside Rehabilitaiton and Health Center Doing business as

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380844800000",
    "number": "1295934057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 NE MIAMI GARDENS DR",
            "address_2": "#368",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331795035"
        },
        {
            "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": "2007-07-12",
        "last_updated": "2013-10-04",
        "status": "A",
        "authorized_official_last_name": "BOGOMILSKY",
        "authorized_official_first_name": "TZVI",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "305-401-7901",
        "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": "032410800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayside Rehabilitaiton and Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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 Rehabilitation and Health Center)
• Saira Psychology LLC
• Imran Sajan, MD
• Kristin Leah Sakadales
• Helen Katerina Sakis, BA
• Bryanne Elisabeth Sakitis, CPNP-AC/PC

• 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 Oct 4, 2013; 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.