Organization Active NPI

Kona Gardens LLC

  • Assisted Living Facility
  • Saint Petersburg, FL
National Provider Identifier
1790299352
Registry record updated Nov 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL13100 Issued in FL
Legal business name
KONA GARDENS LLC
Doing business as
Kona Gardens
Practice address
601 49TH St N
Saint Petersburg, FL 33710-7320
Phone
(727) 321-0768
Fax
(727) 321-0769
NPI assigned
Nov 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2017

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

Authorized official

Name
Chirag Amin, PHARMACIST
Title
Owner
Phone
(813) 967-3808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL13100 FL Primary

Addresses

Primary practice location

601 49TH St N
Saint Petersburg, FL 33710-7320

Mailing address

601 49TH St N
Saint Petersburg, FL 33710-7320
Phone (727) 321-0768

Other names 1

  • Kona Gardens Doing business as

National Provider Directory

National Provider Directory

Locations

601 49th St N
St Petersburg, FL 33710
Phone (727) 280-5767

NPI Registry JSON

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

{
    "created_epoch": "1510963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510963200000",
    "number": "1790299352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 49TH ST N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337107320",
            "telephone_number": "727-321-0768",
            "fax_number": "727-321-0769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 49TH ST N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337107320",
            "telephone_number": "727-321-0768",
            "fax_number": "727-321-0769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KONA GARDENS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-18",
        "last_updated": "2017-11-18",
        "status": "A",
        "authorized_official_last_name": "AMIN",
        "authorized_official_first_name": "CHIRAG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-967-3808",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL13100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kona Gardens",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2017; 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.