Organization Active NPI

Aventura Bay Place LLC

Doing business as Aventura Bay Place

  • Assisted Living Facility
  • St Petersburg, FL
National Provider Identifier
1881359248
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
AVENTURA BAY PLACE LLC
Doing business as
Aventura Bay Place
Practice address
10401 Roosevelt Blvd N
St Petersburg, FL 33716-3836
Phone
(727) 563-9733
NPI assigned
Nov 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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

Authorized official

Name
Mark Kaszirer
Title
Coo
Phone
(610) 686-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

10401 Roosevelt Blvd N
St Petersburg, FL 33716-3836

Mailing address

1105 E County Line Rd Ste 206
Lakewood, NJ 08701-2122
Phone (610) 686-3300

Other names 1

  • Aventura Bay Place Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0984732Aventura Bay Place LLC10401 Roosevelt Blvd N, Saint Petersburg, FL 33716Certificate of waiverMar 28, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635724800000",
    "number": "1881359248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 E COUNTY LINE RD STE 206",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087012122",
            "telephone_number": "610-686-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10401 ROOSEVELT BLVD N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337163836",
            "telephone_number": "727-563-9733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVENTURA BAY PLACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A",
        "authorized_official_last_name": "KASZIRER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "610-686-3300"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aventura Bay Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 1, 2021; 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.