A & J Compassionate Care, LLC
Organization Active NPI Developmental Disabilities Clinic/Center · St Petersburg, FL
NPI 1508519059 · NPPES record last updated Mar 18, 2022
Key facts
- NPI
- 1508519059
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Developmental Disabilities Clinic/Center 261QD1600X
- Legal business name
- A & J COMPASSIONATE CARE, LLC
- Practice address
- 8319 42ND Ave N
St Petersburg, FL 33709-3946 - Phone
- (813) 898-3059
- NPI assigned
- Feb 3, 2022
- Organization subpart
- No
Authorized official
- Name
- Jocelyn Bandola
- Title
- Owner
- Phone
- (813) 898-3059
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Disabilities Clinic/Center | 261QD1600X | Yes |
Addresses
Primary practice location
8319 42ND Ave N
St Petersburg, FL 33709-3946
Mailing address
1735 Jeffords St
Clearwater, FL 33756-4560
Phone (813) 898-3059
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101107200 | Medicaid | FL |
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All providers in St Petersburg, FL · Developmental Disabilities Clinic/Center in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.