Grace Full Living for Seniors Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GRACE FULL LIVING FOR SENIORS INC.

Practice address

601 49TH St N
St Petersburg, FL 33710-7320

Phone

(727) 328-1414

Fax

(727) 328-8433

NPI assigned

Nov 5, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Pier Gasmena

Title

President

Phone

(863) 595-7353

Specialties & licenses 1

Addresses

Other names 1

• The Green Bench Doing business as

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

{
    "created_epoch": "1288915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288915200000",
    "number": "1669773735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 BON AIR ST",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338054631",
            "telephone_number": "863-688-1196",
            "fax_number": "863-687-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 49TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337107320",
            "telephone_number": "727-328-1414",
            "fax_number": "727-328-8433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE FULL LIVING FOR SENIORS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-05",
        "last_updated": "2010-11-05",
        "status": "A",
        "authorized_official_last_name": "GASMENA",
        "authorized_official_first_name": "PIER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-595-7353",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Green Bench",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Suzanne Marie Gozdanovic, M.D.
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• Chester John Grabowski Jr., ARNP
• Grace Family Dental PLLC
• Grace in Home Primary Care, LLC
• Grace Manor Alf LLC
• Grace Street Counseling
• Zamira Maria Gracia Valenzuela, RBT
• Grady Management Corp.

• Assisted Living Facility in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2010; 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.