Phi LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF130470981 Issued in FL

Legal business name

PHI LLC

Doing business as

Crystal Oaks of Pinellas

Practice address

6767 86TH Ave North
Pinellas Park, FL 33782-4597

Phone

(727) 548-5566

Fax

(727) 548-6644

NPI assigned

Sep 22, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Joyce S Denham, LNHA

Title

Administrator

Phone

(727) 548-5566

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Crystal Oaks of Pinellas Doing business as

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1770579906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6767 86TH AVE NORTH",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337824597",
            "telephone_number": "727-548-5566",
            "fax_number": "727-548-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6767 86TH AVE NORTH",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337824597",
            "telephone_number": "727-548-5566",
            "fax_number": "727-548-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-22",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "DENHAM",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "727-548-5566",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF130470981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE FACILITY MDS ID NUM",
            "identifier": "35960917",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026435100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crystal Oaks of Pinellas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristina Louise Petrocco-Napuli, DC
• Quynh Pham
• Binh Phan, DOM, LAC
• John Phan, DC
• Phancore Wellness LLC
• Brandi Laine Phillips, M.D.
• PHMN Inc (HP Pharmacy)
• Julie Phouy
• Quynhanh Phung
• Physical Therapy and Wellness, LLC

• Skilled Nursing Facility in Pinellas Park, FL
• Providers in Pinellas Park, 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 Jun 26, 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.