Snell Island SNF LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF1499095 Issued in FL

Legal business name

SNELL ISLAND SNF LLC

Practice address

4500 Indianapolis St NE
St Petersburg, FL 33703-4317

Phone

(727) 527-5801

Fax

(727) 522-4178

NPI assigned

Sep 20, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Gary C Dipietro, NHA

Title

Administrator

Phone

(727) 527-5801

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1740276385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 INDIANAPOLIS ST NE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337034317",
            "telephone_number": "727-527-5801",
            "fax_number": "727-522-4178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 INDIANAPOLIS ST NE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337034317",
            "telephone_number": "727-527-5801",
            "fax_number": "727-522-4178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNELL ISLAND SNF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-20",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "DIPIETRO",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "727-527-5801",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF1499095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030929000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Smotrich, RN
• SMS Vitality & Wellness Clinic, PLLC
• Smyle Design Company LLC
• Matthew D Smyth, MD
• Snell Island SNF LLC
• Bruce A Snook, ATC
• Allyn-Lee F Snyder
• Christopher W Snyder, MD
• Lianne Snyder, RPH
• Lisa Ann Snyder, LCSW

• Skilled Nursing Facility in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.