Organization Active NPI

Bristol Court Alf BSLC

  • Assisted Living Facility
  • St Petersburg, FL
National Provider Identifier
1669857264
Registry record updated Jul 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
11970 Issued in FL
Legal business name
BRISTOL COURT ALF BSLC
Practice address
3479 54TH Ave N
St Petersburg, FL 33714-2426
Phone
(727) 580-8888
Fax
(727) 580-7777
NPI assigned
Jul 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2015

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

Authorized official

Name
Liza Rojas
Title
MGR
Phone
(941) 809-6147

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 11970 FL Primary

Addresses

Primary practice location

3479 54TH Ave N
St Petersburg, FL 33714-2426

Mailing address

3479 54TH Ave N
St Petersburg, FL 33714-2426
Phone (727) 580-8888

Other names 1

  • BRISTOL COURT Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1437609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437609600000",
    "number": "1669857264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3479 54TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337142426",
            "telephone_number": "727-580-8888",
            "fax_number": "727-580-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3479 54TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337142426",
            "telephone_number": "727-580-8888",
            "fax_number": "727-580-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRISTOL COURT ALF BSLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-23",
        "last_updated": "2015-07-23",
        "status": "A",
        "authorized_official_last_name": "ROJAS",
        "authorized_official_first_name": "LIZA",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "941-809-6147"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "11970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRISTOL COURT",
            "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 Jul 23, 2015; 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.