SCG Palazzo Operator, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SCG PALAZZO OPERATOR, LLC

Doing business as

Palazzo Di Oro

Practice address

3600 34TH St South
St Augustine, FL 33711

Phone

(727) 867-2000

Fax

(727) 867-2398

NPI assigned

Feb 27, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Robert Daniel Vaughan

Title

Director of Operations

Phone

(770) 255-1810

Specialties & licenses 1

Addresses

Other names 1

• Palazzo Di Oro Doing business as

Tax ID family

Palazzo Di Oro2 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.

• SCG Palazzo Operator, LLC

  • Assisted Living Facility
  • St Petersburg, FL
  • NPI 1588870778
  NPD tax ID

Locations

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760519052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 NORCROSS ST",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300753864",
            "telephone_number": "770-255-1810",
            "fax_number": "770-255-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 34TH ST SOUTH",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "33711",
            "telephone_number": "727-867-2000",
            "fax_number": "727-867-2398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCG PALAZZO OPERATOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VAUGHAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "770-255-1810",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palazzo Di Oro",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacob Scarbrough
• Kara Scarbrough, LCSW-C
• Josette Scarpa
• SCG Coral Landing, LLC (Coral Landing Assisted Landing Residences)
• SCG Coral Landing, LLC
• Hannah Schaper
• Rachel Schatzberg
• Lynnsie Schebell
• Craig S Schein, DPM
• Anastasia M. Schenk

• Assisted Living Facility in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Assisted Living Facility in Florida

• 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.