NPIMap

Organization Active NPI

Suncoast Manor Retirement Community Inc

Doing business as Westminster Suncoast

  • Assisted Living Facility
  • St Petersburg, FL
National Provider Identifier
1720467210
Registry record updated May 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL6535 Issued in FL
Legal business name
SUNCOAST MANOR RETIREMENT COMMUNITY INC
Doing business as
Westminster Suncoast
Practice address
1095 Pinellas Point Dr S
St Petersburg, FL 33705-6154
Phone
(727) 867-1131
Fax
(727) 866-8742
NPI assigned
May 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2015

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

Authorized official

Name
Mr. Henry T Keith, CPA
Title
Sr Vice President & Cfo
Phone
(407) 839-5050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL6535 FL Primary

Addresses

Primary practice location

1095 Pinellas Point Dr S
St Petersburg, FL 33705-6154

Mailing address

1095 Pinellas Point Dr S
St Petersburg, FL 33705-6154
Phone (727) 867-1131

Other identifiers 1

IdentifierTypeStateIssuer
021270900MedicaidFL

Other names 1

  • Westminster Suncoast Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Suncoast Manor Retirement Community Inc2 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.

NPI Registry JSON

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

{
    "created_epoch": "1432857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432857600000",
    "number": "1720467210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 PINELLAS POINT DR S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337056154",
            "telephone_number": "727-867-1131",
            "fax_number": "727-866-8742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 PINELLAS POINT DR S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337056154",
            "telephone_number": "727-867-1131",
            "fax_number": "727-866-8742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNCOAST MANOR RETIREMENT COMMUNITY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-29",
        "last_updated": "2015-05-29",
        "status": "A",
        "authorized_official_last_name": "KEITH",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "SR VICE PRESIDENT & CFO",
        "authorized_official_telephone_number": "407-839-5050",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL6535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021270900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westminster Suncoast",
            "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 May 29, 2015; 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.