Organization Active NPI

Trowbridge a.G. LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • St Petersburg, FL
National Provider Identifier
1891394722
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
TROWBRIDGE A.G. LLC
Practice address
5028 34TH Ave N
St Petersburg, FL 33710-2116
Phone
(813) 505-4675
NPI assigned
Oct 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Authorized official

Name
Mr. Elvis Badnjevic
Title
MGRM
Phone
(813) 505-4675

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

5028 34TH Ave N
St Petersburg, FL 33710-2116

Mailing address

6880 46TH Ave N Ste 240
St Petersburg, FL 33709-4753
Phone (813) 505-4675

National Provider Directory

National Provider Directory

Locations

6880 46th Ave N
Ste 240
St Petersburg, FL 33709

NPI Registry JSON

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603238400000",
    "number": "1891394722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6880 46TH AVE N STE 240",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337094753",
            "telephone_number": "813-505-4675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5028 34TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337102116",
            "telephone_number": "813-505-4675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TROWBRIDGE A.G. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "BADNJEVIC",
        "authorized_official_first_name": "ELVIS",
        "authorized_official_title_or_position": "MGRM",
        "authorized_official_telephone_number": "813-505-4675",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "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 Oct 21, 2020; 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.