Spgi SNF LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SPGI SNF LLC

Practice address

12250 N 22ND St
Tampa, FL 33612-4955

Phone

(407) 782-6364

Fax

(407) 209-3541

NPI assigned

Feb 27, 2018

Organization subpart

No

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

Authorized official

Name

Jeannette Baltzly

Title

Ceo

Phone

(407) 782-6364

Specialties & licenses 1

Addresses

Other names 1

• The Nursing Center at University Village Doing business as

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519689600000",
    "number": "1346741154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12250 N 22ND ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336124955",
            "telephone_number": "407-782-6364",
            "fax_number": "407-209-3541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12250 N 22ND ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336124955",
            "telephone_number": "407-782-6364",
            "fax_number": "407-209-3541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPGI SNF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-27",
        "last_updated": "2018-02-27",
        "status": "A",
        "authorized_official_last_name": "BALTZLY",
        "authorized_official_first_name": "JEANNETTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-782-6364"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Nursing Center at University Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robin Lori Spencer
• Annmari Speranza, PA-C
• Tiffany Sperry, PT
• Darrow Speyer
• Spgi Alf LLC
• Alan Richard Spicer
• Jenny Mejia Spicer, D.C.
• Kevin Lamar Spicer Sr., MS
• Ann Marie Spicocchi, RD.,CSO.,LD/N
• Angela Spicola

• Skilled Nursing Facility in Tampa, FL
• Providers in Tampa, 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 Feb 27, 2018; 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.