Organization Active NPI

Sea Breeze Adult Day Center, LLC

  • Adult Day Care Clinic/Center
  • St. Petersburg, FL
National Provider Identifier
1699215699
Registry record updated Feb 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
9379 Issued in FL
Legal business name
SEA BREEZE ADULT DAY CENTER, LLC
Practice address
618 94TH Ave N
St. Petersburg, FL 33702-2408
Phone
(727) 623-9092
NPI assigned
Feb 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2017

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

Authorized official

Name
Mrs. Natalie Lemke
Title
Owner/Director
Phone
(727) 623-9092

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 9379 FL Primary

Addresses

Primary practice location

618 94TH Ave N
St. Petersburg, FL 33702-2408

Mailing address

618 94TH Ave N
St Petersburg, FL 33702-2408
Phone (727) 623-9092

National Provider Directory

National Provider Directory

Locations

618 94th Ave N
St Petersburg, FL 33702
Phone (727) 623-9092

NPI Registry JSON

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

{
    "created_epoch": "1487894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487894400000",
    "number": "1699215699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 94TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337022408",
            "telephone_number": "727-623-9092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 94TH AVE N",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "337022408",
            "telephone_number": "727-623-9092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEA BREEZE ADULT DAY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-24",
        "last_updated": "2017-02-24",
        "status": "A",
        "authorized_official_last_name": "LEMKE",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "727-623-9092",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "FL",
            "license": "9379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 24, 2017; 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.