Amelia Assisted Living Facility, Inc

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

1052 Issued in FL

Legal business name

AMELIA ASSISTED LIVING FACILITY, INC

Practice address

2135 40TH Ave N
St Petersburg, FL 33714-4124

Phone

(813) 943-5380

NPI assigned

Jun 24, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. L Rene Bird, LPN

Title

Owner/President

Phone

(813) 943-5380

Specialties & licenses 1

Addresses

Other names 1

• Amelia ALF Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435104000000",
    "number": "1407238504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12219 SWAYING MOSS CIR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335694718",
            "telephone_number": "813-943-5380",
            "fax_number": "813-354-4839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 40TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337144124",
            "telephone_number": "813-943-5380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMELIA ASSISTED LIVING FACILITY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-24",
        "last_updated": "2015-06-24",
        "status": "A",
        "authorized_official_last_name": "BIRD",
        "authorized_official_first_name": "L RENE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "813-943-5380",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "1052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amelia ALF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samrat V Ambewadikar, M.D.
• Kathleen Ellen Ambler, CNM, MSN
• Taylor Whitney Ambruso, APRN
• Latonia Michelle Ambush, LPCC, LMHC
• Amcare Family Practice PA
• Amenity Healthcare
• Madison Amente
• Sara Sabri Amer, DO
• American Current Care P.a .
• American Current Care P.a .

• All providers in St Petersburg, FL
• Assisted Living Facility (Mental Illness) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.