Active NPI
Aventura Bay Place LLC
Doing business as Aventura Bay Place
- Assisted Living Facility
- St Petersburg, FL
National Provider Identifier
1881359248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0984732 | Aventura Bay Place LLC | Certificate of waiver | Mar 28, 2027 |
National Provider Directory
National Provider DirectoryNPI 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.