Organization Active NPI

Gift of Life Company, Inc.

  • Community/Behavioral Health Agency
  • Pinellas Park, FL
National Provider Identifier
1710109590
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GIFT OF LIFE COMPANY, INC.
Practice address
4425 Park Blvd
Pinellas Park, FL 33781-3540
Phone
(727) 547-0607
NPI assigned
May 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Tricia Jo Mazurowski, M.S.
Title
Counselor
Phone
(727) 638-5709

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4425 Park Blvd
Pinellas Park, FL 33781-3540

Mailing address

3845 Erin Brook Dr
New Port Richey, FL 34655-2910
Phone (727) 422-5364

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710109590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3845 ERIN BROOK DR",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346552910",
            "telephone_number": "727-422-5364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 PARK BLVD",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337813540",
            "telephone_number": "727-547-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIFT OF LIFE COMPANY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAZUROWSKI",
        "authorized_official_first_name": "TRICIA",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "727-638-5709",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinellas Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.