Organization Active NPI

Bay Pines VA Hospital

  • Nursing Facility/Intermediate Care Facility
  • Largo, FL
National Provider Identifier
1619173473
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
2238102 Issued in FL
Legal business name
BAY PINES VA HOSPITAL
Practice address
1050 Starkey Rd
#2209
Largo, FL 33771-5457
Phone
(727) 320-4375
NPI assigned
Jun 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. James John Morello
Title
Nurse Educator
Phone
(727) 320-4375

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 2238102 FL Primary

Addresses

Primary practice location

1050 Starkey Rd
#2209
Largo, FL 33771-5457

Mailing address

1050 Starkey Rd
#2209
Largo, FL 33771-5457
Phone (727) 320-4375

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619173473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 STARKEY RD",
            "address_2": "#2209",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337715457",
            "telephone_number": "727-320-4375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 STARKEY RD",
            "address_2": "#2209",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337715457",
            "telephone_number": "727-320-4375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY PINES VA HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORELLO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "NURSE EDUCATOR",
        "authorized_official_telephone_number": "727-320-4375",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "FL",
            "license": "2238102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.