Organization Active NPI

Belle Vista Bluffs, Inc.

  • Assisted Living Facility
  • Largo, FL
National Provider Identifier
1730432980
Registry record updated Jul 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL7888 Issued in FL
Legal business name
BELLE VISTA BLUFFS, INC.
Practice address
1138 Rosemary Dr
Largo, FL 33770-4219
Phone
(727) 587-0887
Fax
(727) 588-2397
NPI assigned
Oct 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2014

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

Authorized official

Name
Beverly C. Mackin
Title
Administrator
Phone
(727) 587-0887

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL7888 FL Primary
Assisted Living Facility 310400000X AL7261 FL

Addresses

Primary practice location

1138 Rosemary Dr
Largo, FL 33770-4219

Mailing address

1138 Rosemary Dr
Largo, FL 33770-4219
Phone (727) 587-0887

Other identifiers 3

IdentifierTypeStateIssuer
674094401MedicaidFL
674094496MedicaidFL
674094403MedicaidFL

National Provider Directory

National Provider Directory

Locations

1138 Rosemary Dr
Largo, FL 33770
Phone (727) 587-0887

NPI Registry JSON

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

{
    "created_epoch": "1351036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405900800000",
    "number": "1730432980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1138 ROSEMARY DR",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337704219",
            "telephone_number": "727-587-0887",
            "fax_number": "727-588-2397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1138 ROSEMARY DR",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337704219",
            "telephone_number": "727-587-0887",
            "fax_number": "727-588-2397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLE VISTA BLUFFS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-24",
        "last_updated": "2014-07-21",
        "status": "A",
        "authorized_official_last_name": "MACKIN",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "727-587-0887"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL7888",
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL7261",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "674094401",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "674094496",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "674094403",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; 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.