House of Bostics LLC (the)

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

HOUSE OF BOSTICS LLC (THE)

Practice address

3586 53Rd Ave N
Saint Petersburg, FL 33714-2412

Phone

(727) 550-7076

Fax

(727) 329-9031

NPI assigned

Apr 22, 2020

Last updated

Nov 23, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shalondria N BosticNPI 1447618640

Title

Administrator

Phone

(727) 550-7076

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shalondria Bostic

  • Adult Care Home Facility
  • St Petersburg, FL
  • NPI 1447618640
  NPD Authorized official

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

{
    "created_epoch": "1587513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669161600000",
    "number": "1447870266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3586 53RD AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337142412",
            "telephone_number": "727-550-7076",
            "fax_number": "727-329-9031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3586 53RD AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337142412",
            "telephone_number": "727-550-7076",
            "fax_number": "727-329-9031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4123 Whiting Dr SE",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337054061",
            "country_code": "US",
            "telephone_number": "727-550-7076",
            "fax_number": "727-329-9031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOUSE OF BOSTICS LLC (THE)",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-22",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A",
        "authorized_official_last_name": "BOSTIC",
        "authorized_official_first_name": "SHALONDRIA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "727-550-7076"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katrina Hoston, APRN
• Loucif Houari Sr.
• Karen V Hough, ARNP
• House Call Doctors CFL
• House of Bostic
• House of Joules Wellness and Skin
• Kym Householder, AP
• Cynette Crescendo Houston, BSW
• Jacqueline Houston
• Robert J Hover, D.O.

• Assisted Living Facility (Mental Illness) in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Assisted Living Facility (Mental Illness) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; 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.