Organization Active NPI

Tectrust Incorporated

  • Assisted Living Facility (Mental Illness)
  • St Petersburg, FL
National Provider Identifier
1437572104
Registry record updated Nov 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
License
AL9 Issued in FL
Legal business name
TECTRUST INCORPORATED
Practice address
434 4TH St N
St Petersburg, FL 33701-2804
Phone
(727) 823-2139
Fax
(727) 823-2184
NPI assigned
Jan 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2014

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

Authorized official

Name
Louis Berlanti
Title
Administrator
Phone
(727) 823-2139

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X AL9 FL Primary

Addresses

Primary practice location

434 4TH St N
St Petersburg, FL 33701-2804

Mailing address

434 4TH St N
St Petersburg, FL 33701-2804
Phone (727) 823-2139

Other identifiers 1

IdentifierTypeStateIssuer
140061400MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1391040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415577600000",
    "number": "1437572104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 4TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337012804",
            "telephone_number": "727-823-2139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 4TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337012804",
            "telephone_number": "727-823-2139",
            "fax_number": "727-823-2184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TECTRUST INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-30",
        "last_updated": "2014-11-10",
        "status": "A",
        "authorized_official_last_name": "BERLANTI",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "727-823-2139"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "AL9",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140061400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; 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.