Organization Active NPI

Parklynn Holdings LLC

  • In Home Supportive Care Agency
  • St Petersburg, FL
National Provider Identifier
1689392417
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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

Updated by the provider on Aug 29, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
299994364OtherFLHOME HEALTH AGENCY LICENSE

Other names 2

  • Generations at Home Doing business as
  • Nursing Styles Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Generations at Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.