NPIMap

Organization Active NPI

PSL Operating Florida, LLC

  • Preferred Provider Organization
  • New Port Richey, FL
National Provider Identifier
1588936637
Registry record updated Feb 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
5421 Issued in FL
Legal business name
PSL OPERATING FLORIDA, LLC
Practice address
5539 Charles St
New Port Richey, FL 34652-3705
Phone
(727) 848-4459
NPI assigned
Feb 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2012

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

Authorized official

Name
Ms. Stephanie White
Title
Cfo
Phone
(206) 354-9893

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 5421 FL Primary

Addresses

Primary practice location

5539 Charles St
New Port Richey, FL 34652-3705

Mailing address

5539 Charles Street
New Port Richey, FL 34652
Phone (727) 848-4459

Other identifiers 1

IdentifierTypeStateIssuer
5421OtherFLAHCA

Other names 1

  • Summit at New Port Richey Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Premier Senior Living of Florida LLC2 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.

NPI Registry JSON

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

{
    "created_epoch": "1328486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328486400000",
    "number": "1588936637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5539 CHARLES STREET",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "34652",
            "telephone_number": "727-848-4459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5539 CHARLES ST",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346523705",
            "telephone_number": "727-848-4459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSL OPERATING FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-06",
        "last_updated": "2012-02-06",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "206-354-9893",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "FL",
            "license": "5421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "5421",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit at New Port Richey",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2012; 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.