Active NPI
LP St. Petersburg, LLC
Doing business as Golfview Healthcare Center
- Skilled Nursing Facility
- St Petersburg, FL
National Provider Identifier
1659694321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- SNF11770962
- 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, 2012
- Organization subpart
- Yes
- Parent organization
- LP O HOLDINGS II, LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
3636 10th Ave N
St Petersburg, FL 33713
Phone (727) 323-3611
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
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.