Bon Secours St Petersburg Home Care Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

299993095 Issued in FL

Legal business name

BON SECOURS ST PETERSBURG HOME CARE SERVICES LLC

Practice address

137 S Pebble Beach Blvd
Ste 203
Sun City, FL 22573-5708

Phone

(813) 443-5566

Fax

(813) 374-6997

NPI assigned

Jun 29, 2009

Organization subpart

Yes

Parent organization

BON SECOURS ST. PETERSBURG HOME CARE SERVICEAs reported in NPPES

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

Authorized official

Name

Kimberly Ralston

Title

VP Reimbursement

Phone

(419) 996-5119

Specialties & licenses 1

Addresses

Other names 1

• Bon Secours St. Petersburg Home Care Services Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Part of

Bon Secours St Petersburg Home Care Services LLC

Locations

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Compassus BSMH St. Petersburg HHA I, LLC

  • Home Health Agency
  • Sun City Center, FL
  • NPI 1003634924

  Sold to, 2024-07-01

  CMS change of ownership

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Bon Secours St Petersburg Home Care Services LLC

  • Home Health Agency
  • St Petersburg, FL
  • NPI 1295847341
  NPPES parent name

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

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695254400000",
    "number": "1497983407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631118",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452631118",
            "telephone_number": "513-952-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 S PEBBLE BEACH BLVD",
            "address_2": "STE 203",
            "city": "SUN CITY",
            "state": "FL",
            "postal_code": "225735708",
            "telephone_number": "813-443-5566",
            "fax_number": "813-374-6997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BON SECOURS ST PETERSBURG HOME CARE SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BON SECOURS ST. PETERSBURG HOME CARE SERVICE",
        "enumeration_date": "2009-06-29",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "RALSTON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "VP REIMBURSEMENT",
        "authorized_official_telephone_number": "419-996-5119"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299993095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bon Secours St. Petersburg Home Care Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bon Secours St. Petersburg Home Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sun City Imaging LLC
• Sun City Imaging LLC
• Tower Imaging LLC

• All providers in Sun City, FL
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.