Active NPI
Parklynn Holdings LLC
- In Home Supportive Care Agency
- St Petersburg, FL
National Provider Identifier
1689392417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- PARKLYNN HOLDINGS LLC
- Practice address
- 1 Beach Dr SE Unit 302
St Petersburg, FL 33701-3953 - Phone
- (727) 234-5843
- NPI assigned
- Aug 18, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shaun Carroll
- Title
- Owner
- Phone
- (727) 940-3414
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
1 Beach Dr SE Unit 302
St Petersburg, FL 33701-3953
Mailing address
1 Beach Dr SE Unit 305
St Petersburg, FL 33701-3953
Phone (727) 234-5843
Other practice location 1
2945 Bee Ridge Rd
Sarasota, FL 34239-7113
Phone (941) 378-8822
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 299994364 | Other | FL | HOME HEALTH AGENCY LICENSE |
Other names 2
- Generations at Home
- Nursing Styles
National Provider Directory
National Provider Directory- Tax ID family
- Generations at Home
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- St Petersburg, FL
- NPI 1659104735
Locations
1 Beach Dr SE
Unit 302
St Petersburg, FL 33701
Phone (727) 234-5843
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660780800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724889600000",
"number": "1689392417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 BEACH DR SE UNIT 305",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337013953",
"telephone_number": "727-234-5843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BEACH DR SE UNIT 302",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337013953",
"telephone_number": "727-234-5843"
}
],
"practiceLocations": [
{
"address_1": "2945 Bee Ridge Rd",
"address_purpose": "LOCATION",
"city": "Sarasota",
"state": "FL",
"postal_code": "342397113",
"country_code": "US",
"telephone_number": "941-378-8822",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PARKLYNN HOLDINGS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-18",
"last_updated": "2024-08-29",
"certification_date": "2024-08-29",
"status": "A",
"authorized_official_last_name": "CARROLL",
"authorized_official_first_name": "SHAUN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "727-940-3414"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HOME HEALTH AGENCY LICENSE",
"identifier": "299994364",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Generations at Home",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Nursing Styles",
"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 Aug 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.