Bon Secours Place at St Petersburg LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

9939 Issued in FL

Legal business name

BON SECOURS PLACE AT ST PETERSBURG LLC

Practice address

10401 Roosevelt Blvd N
St Petersburg, FL 33716-3836

Phone

(727) 563-9733

Fax

(727) 563-9595

NPI assigned

Nov 16, 2005

Organization subpart

No

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

Authorized official

Name

Karen G. Reich

Title

Ceo

Phone

(727) 568-1000

Specialties & licenses 1

Addresses

Other names 1

• Bon Secours Place at St Petersburg Doing business as

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508803200000",
    "number": "1366424202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10401 ROOSEVELT BLVD N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337163836",
            "telephone_number": "727-563-9733",
            "fax_number": "866-449-0896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10401 ROOSEVELT BLVD N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337163836",
            "telephone_number": "727-563-9733",
            "fax_number": "727-563-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BON SECOURS PLACE AT ST PETERSBURG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-16",
        "last_updated": "2017-10-24",
        "status": "A",
        "authorized_official_last_name": "REICH",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "727-568-1000"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "9939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bon Secours Place at St Petersburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; 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.