Organization Active NPI

Christopher'S Place Retirement Home

  • Assisted Living Facility
  • St Petersburg, FL
National Provider Identifier
1831522705
Registry record updated Aug 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
CHRISTOPHER'S PLACE RETIREMENT HOME
Practice address
3586 53Rd Ave N
St Petersburg, FL 33714-2412
Phone
(727) 688-1918
Fax
(727) 824-6364
NPI assigned
Aug 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2013

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

Authorized official

Name
Ms. Valdene Forde
Title
Owner
Phone
(727) 688-1918

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

3586 53Rd Ave N
St Petersburg, FL 33714-2412

Mailing address

3586 53Rd Ave N
St Petersburg, FL 33714-2412
Phone (727) 688-1918

National Provider Directory

National Provider Directory

Locations

3586 53rd Ave N
St Petersburg, FL 33714
Phone (727) 522-4439

NPI Registry JSON

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

{
    "created_epoch": "1376524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376524800000",
    "number": "1831522705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3586 53RD AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337142412",
            "telephone_number": "727-688-1918",
            "fax_number": "727-824-6364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3586 53RD AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337142412",
            "telephone_number": "727-688-1918",
            "fax_number": "727-824-6364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER'S PLACE RETIREMENT HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-15",
        "last_updated": "2013-08-15",
        "status": "A",
        "authorized_official_last_name": "FORDE",
        "authorized_official_first_name": "VALDENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-688-1918",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; 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.