Organization Active NPI

Siragusa LLC Dba Granny Nannies

  • Home Health Agency
  • St Petersburg, FL
National Provider Identifier
1528279403
Registry record updated Nov 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
30211066 Issued in FL
Legal business name
SIRAGUSA LLC DBA GRANNY NANNIES
Practice address
770 1St Ave N
St Petersburg, FL 33701-3604
Phone
(727) 894-2922
Fax
(727) 894-2911
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2015

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

Authorized official

Name
Ms. Jodi Earle
Title
Director of Operations Owner
Phone
(727) 894-2922

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 30211066 FL Primary
Home Health Agency 251E00000X 30211147 FL

Addresses

Primary practice location

770 1St Ave N
St Petersburg, FL 33701-3604

Mailing address

770 1St Ave N
St Petersburg, FL 33701-3604
Phone (727) 894-2922

Other identifiers 2

IdentifierTypeStateIssuer
684866401MedicaidFL
684866400MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Siragusa LLC Dba Granny Nannies2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

770 1st Ave N
St Petersburg, FL 33701
Phone (727) 894-2922

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447286400000",
    "number": "1528279403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 1ST AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013604",
            "telephone_number": "727-894-2922",
            "fax_number": "727-894-2911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 1ST AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013604",
            "telephone_number": "727-894-2922",
            "fax_number": "727-894-2911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIRAGUSA LLC DBA GRANNY NANNIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2015-11-12",
        "status": "A",
        "authorized_official_last_name": "EARLE",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS OWNER",
        "authorized_official_telephone_number": "727-894-2922",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "30211066",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "30211147",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "684866401",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "684866400",
            "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 12, 2015; 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.