Organization Active NPI

Prince of Peace Evangelical Lutheran Church of Pinellas County FL, Inc

  • Adult Day Care Clinic/Center
  • Largo, FL
National Provider Identifier
1578296182
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
PRINCE OF PEACE EVANGELICAL LUTHERAN CHURCH OF PINELLAS COUNTY FL, INC
Practice address
455 Missouri Ave.
Largo, FL 33770-1561
Phone
(727) 585-9969
NPI assigned
Jul 1, 2022
Organization subpart
Yes
Parent organization
PRINCE OF PEACE EVANGELICAL LUTHERAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Authorized official

Name
Ms. Pamela Iusi
Title
Director
Phone
(727) 265-2609

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

455 Missouri Ave.
Largo, FL 33770-1561

Mailing address

455 Missouri Ave.
Largo, FL 33770-1561
Phone (727) 585-9969

Other names 1

  • Ruth's Promise Adult Day Program Other name

National Provider Directory

National Provider Directory
Part of
Prince of Peace Evangelical Lutheran Church of Pinellas County FL Inc

Locations

455 Missouri Ave N
Largo, FL 33770
Phone (727) 585-9969

NPI Registry JSON

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

{
    "created_epoch": "1656633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739145600000",
    "number": "1578296182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 MISSOURI AVE.",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337701561",
            "telephone_number": "727-585-9969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 MISSOURI AVE.",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337701561",
            "telephone_number": "727-585-9969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCE OF PEACE EVANGELICAL LUTHERAN CHURCH OF PINELLAS COUNTY FL, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRINCE OF PEACE EVANGELICAL LUTHERA",
        "enumeration_date": "2022-07-01",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A",
        "authorized_official_last_name": "IUSI",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "727-265-2609",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ruth's Promise Adult Day Program",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Ruth's Promise Adult Day Program",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.