SCG Laurellwood LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SCG LAURELLWOOD LLC

Doing business as

LaurellWood Nursing Center

Practice address

3127 57TH Ave N
St Petersburg, FL 33714

Phone

(727) 527-2171

Fax

(727) 522-5929

NPI assigned

Aug 10, 2005

Last updated

Feb 26, 2015By 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

Mr. David Ross Vaughan

Title

Chairman of the Board

Phone

(813) 341-2700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• LaurellWood Nursing Center Doing business as

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424908800000",
    "number": "1932101987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 MARBELLA PLAZA DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33619",
            "telephone_number": "813-341-2700",
            "fax_number": "813-341-2755"
        },
        {
            "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": "33714",
            "telephone_number": "727-527-2171",
            "fax_number": "727-522-5929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCG LAURELLWOOD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-10",
        "last_updated": "2015-02-26",
        "status": "A",
        "authorized_official_last_name": "VAUGHAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "CHAIRMAN OF THE BOARD",
        "authorized_official_telephone_number": "813-341-2700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031662800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LaurellWood Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel Lee Scaringe, MD
• Ashley Scarpa
• Lisa Scarzafava, B.S
• Hugo Fernan Scavino, M.D.
• SCG Baywood LLC (BayWood Nursing Center)
• SCG Laurellwood, LLC
• SCG Palazzo Operator, LLC
• William Edward Schaaf Jr., M.D.
• Megan Schaberg
• Ashley R Schaech

• 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 Feb 26, 2015; 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.