Organization Active NPI

LP St. Petersburg, LLC

Doing business as Golfview Healthcare Center

  • Skilled Nursing Facility
  • St Petersburg, FL
National Provider Identifier
1659694321
Registry record updated Mar 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
SNF11770962 Issued in FL
Legal business name
LP ST. PETERSBURG, LLC
Doing business as
Golfview Healthcare Center
Practice address
3636 10TH Ave N
St Petersburg, FL 33713-6528
Phone
(727) 323-3611
Fax
(727) 327-5802
NPI assigned
Mar 9, 2010
Last updated
Mar 1, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
LP O HOLDINGS II, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 1, 2012

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

Authorized official

Name
Mr. John Harrison
Title
Cfo
Phone
(502) 568-7800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X SNF11770962 FL
Skilled Nursing Facility 314000000X SNF11770962 FL Primary

Addresses

Primary practice location

3636 10TH Ave N
St Petersburg, FL 33713-6528

Mailing address

3636 10TH Ave N
St Petersburg, FL 33713-6528
Phone (727) 323-3611

Other names 1

  • Golfview Healthcare Center Doing business as

National Provider Directory

National Provider Directory

Locations

3636 10th Ave N
St Petersburg, FL 33713
Phone (727) 323-3611

Networks

  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
  • Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

NPI Registry JSON

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330560000000",
    "number": "1659694321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3636 10TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337136528",
            "telephone_number": "727-323-3611",
            "fax_number": "727-327-5802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 10TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337136528",
            "telephone_number": "727-323-3611",
            "fax_number": "727-327-5802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LP ST. PETERSBURG, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LP O HOLDINGS II, LLC",
        "enumeration_date": "2010-03-09",
        "last_updated": "2012-03-01",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "502-568-7800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "FL",
            "license": "SNF11770962",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF11770962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golfview Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.