Sa-PG-Largo LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF1409096 Issued in FL

Legal business name

SA-PG-LARGO LLC

Practice address

10500 Starkey Rd
Largo, FL 33777-1137

Phone

(727) 397-8166

Fax

(727) 319-3704

NPI assigned

Jun 22, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Alex Paley

Title

Coo

Phone

91439043263

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Palm Garden of Largo Doing business as

Tax ID family

Palm Garden of Largo2 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.

• Palm Garden of Largo LLC

  • Skilled Nursing Facility
  • Largo, FL
  • NPI 1740615798
  NPD tax ID

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1629074828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10500 STARKEY RD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337771137",
            "telephone_number": "727-397-8166",
            "fax_number": "727-319-3704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10500 STARKEY RD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337771137",
            "telephone_number": "727-397-8166",
            "fax_number": "727-319-3704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SA-PG-LARGO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "PALEY",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "91439043263",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF1409096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025747800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palm Garden of Largo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tracy Gayle Rutherford, APRN
• Enver Ruzdija, ARNP-C
• Laurie Ryan, OTR
• Erin Ryczek, OTR/L
• Sa-PG Pinellas, LLC
• Sacha Saba, M.D.
• Richard P Sable, D.D.S, P.A
• James Joseph Sacca, MD
• Ryan Sacksteder, O.D.
• Joanna Sadowska

• Skilled Nursing Facility in Largo, FL
• Providers in Largo, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; 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.