SCG Laurellwood, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF11790962 Issued in FL

Legal business name

SCG LAURELLWOOD, LLC

Practice address

3127 57TH Ave N
St Petersburg, FL 33714-1320

Phone

(727) 527-2171

Fax

(727) 522-6929

NPI assigned

Oct 4, 2005

Last updated

Jul 31, 2008By 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

Mark D Kramer

Title

Ceo

Phone

(813) 341-2700

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1871580894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3127 57TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337141320",
            "telephone_number": "727-527-2171",
            "fax_number": "727-522-6929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3127 57TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337141320",
            "telephone_number": "727-527-2171",
            "fax_number": "727-522-6929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCG LAURELLWOOD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-04",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "KRAMER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-341-2700"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF11790962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "SNF11790962",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Scarpa
• Lisa Scarzafava, B.S
• Hugo Fernan Scavino, M.D.
• SCG Baywood LLC (BayWood Nursing Center)
• SCG Laurellwood LLC (LaurellWood Nursing Center)
• SCG Palazzo Operator, LLC
• William Edward Schaaf Jr., M.D.
• Megan Schaberg
• Ashley R Schaech
• Alivia Elizabeth Schaefer, DC

• Skilled Nursing Facility in St Petersburg, FL
• Providers in St Petersburg, 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 Jul 31, 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.