Catherine Manor, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL7797 Issued in FL

Legal business name

CATHERINE MANOR, LLC

Doing business as

Bay Pines Manor

Practice address

10591 Bay Pines Blvd
St Petersburg, FL 33708-3101

Phone

(727) 391-5965

Fax

(727) 391-5965

NPI assigned

May 17, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Michael Thomas Grady

Title

Managing Member

Phone

(727) 488-3520

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bay Pines Manor Doing business as

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

{
    "created_epoch": "1305590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305590400000",
    "number": "1568755064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10591 BAY PINES BLVD",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337083101",
            "telephone_number": "727-391-5965",
            "fax_number": "727-391-5965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10591 BAY PINES BLVD",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337083101",
            "telephone_number": "727-391-5965",
            "fax_number": "727-391-5965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHERINE MANOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-17",
        "last_updated": "2011-05-17",
        "status": "A",
        "authorized_official_last_name": "GRADY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "727-488-3520",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL7797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142048800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bay Pines Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jordan Catalano, PA
• Tatiana Katheline Catalano, APRN
• Jaclyn Catalfina, PTA
• Dane Cathell, LMT
• Catherine a. Phillips, M.D., PA
• Catholic Charities
• Kimberly Theresa Caudell, PA-C
• Tara Jean Caudill, CRNA
• Matthew Caulfield, DC
• Myla Caunin

• Assisted Living Facility in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; 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.