Masonic Home of Florida

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MASONIC HOME OF FLORIDA

Practice address

3201 1St St NE
St Petersburg, FL 33704-2299

Phone

(727) 822-3499

Fax

(727) 821-6775

NPI assigned

Jul 25, 2023

Organization subpart

Yes

Parent organization

MOST WORSHIPFUL GRAND LODGE OF FREE & ACCEPTED MASONS OF FLORIDAAs reported in NPPES

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

Authorized official

Name

Renee Verrier

Title

Administrator

Phone

(727) 822-3499

Specialties & licenses 2

Addresses

Other names 1

• Most Worshipful Grand Lodge of Free & Accepted Masons of Florida Doing business as

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

CLIA laboratory certificates

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

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690243200000",
    "number": "1902587876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 1ST ST NE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337042299",
            "telephone_number": "727-822-3499",
            "fax_number": "727-821-6775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 1ST ST NE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337042299",
            "telephone_number": "727-822-3499",
            "fax_number": "727-821-6775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASONIC HOME OF FLORIDA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOST WORSHIPFUL GRAND LODGE OF FREE & ACCEPTED MASONS OF FLORIDA",
        "enumeration_date": "2023-07-25",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A",
        "authorized_official_last_name": "VERRIER",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "727-822-3499"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Most Worshipful Grand Lodge of Free & Accepted Masons of Florida",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven Cameron Masley, MD, CNS
• Alexandra Donn Mason, OTA
• Austin John Mason, OD
• John Howard Mason, O.D.
• Laurie Anne Mason, LCSW
• Jennifer Heretick Massa, PH.D.
• Franklin Stephen Massari, MD
• Masscare, LLC
• Joy Anita Masseaux, MD
• Stephanie Zale Massey, PA-C

• 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 25, 2023; 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.