Everest Rehabilitation Hospital St. Pete LLC

Primary specialty

Rehabilitation HospitalTaxonomy code 283X00000X

Legal business name

EVEREST REHABILITATION HOSPITAL ST. PETE LLC

Practice address

3410 Gateway Centre Parkway
Pinellas Park, FL 33782

Phone

(469) 223-5749

NPI assigned

Apr 12, 2023

Last updated

Apr 12, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Omar Jenkins

Title

Cfo

Phone

(469) 223-5749

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1790471845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 BELT LINE ROAD",
            "address_2": "STE 310",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752547124",
            "telephone_number": "469-223-5749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 GATEWAY CENTRE PARKWAY",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "33782",
            "telephone_number": "469-223-5749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVEREST REHABILITATION HOSPITAL ST. PETE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-06",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "469-223-5749",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Pinellas Park, FL by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.