NPIMap

Organization Active NPI

St Mark Village Inc

  • Assisted Living Facility
  • Palm Harbor, FL
National Provider Identifier
1699281337
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL7369 Issued in FL
Legal business name
ST MARK VILLAGE INC
Practice address
880 Highlands Blvd
Palm Harbor, FL 34684-2827
Phone
(727) 785-2577
Fax
(727) 786-6835
NPI assigned
Dec 18, 2017
Last updated
Jun 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Cynthia Pohl, MBA
Title
Chief Financial Officer
Phone
(727) 785-2577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL7369 FL Primary

Addresses

Primary practice location

880 Highlands Blvd
Palm Harbor, FL 34684-2827

Mailing address

2655 Nebraska Ave
Palm Harbor, FL 34684-2630
Phone (727) 785-2577

National Provider Directory

National Provider Directory
Tax ID family
St Mark Village Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1513555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1699281337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 NEBRASKA AVE",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346842630",
            "telephone_number": "727-785-2577",
            "fax_number": "727-786-6835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 HIGHLANDS BLVD",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346842827",
            "telephone_number": "727-785-2577",
            "fax_number": "727-786-6835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARK VILLAGE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-18",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "POHL",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "727-785-2577",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL7369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.