SF Glen Oaks LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SF GLEN OAKS LLC

Practice address

1100 N Pine St
Clearwater, FL 33756-4104

Phone

(727) 442-7106

NPI assigned

Jun 6, 2008

Organization subpart

Yes

Parent organization

FLORIDA FACILITIES LLCAs reported in NPPES

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

Authorized official

Name

James Richardson

Title

President

Phone

(850) 430-0000

Specialties & licenses 1

Addresses

Other names 1

• Glen Oaks Health and Rehabilitation Center Doing business as

Part of

SF Glen Oaks LLC

Locations

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1942469788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 SOUTH PALAFOX PLACE",
            "address_2": "SUITE 400",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325025697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N PINE ST",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337564104",
            "telephone_number": "727-442-7106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SF GLEN OAKS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLORIDA FACILITIES  LLC",
        "enumeration_date": "2008-06-06",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-430-0000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glen Oaks Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelly Sever
• Carlos Alfonso Sevilla, PHARM.D.
• Jennifer Lindsey Sevilla, APRN
• Eric Sexton, DPT
• Lawrence Edward Seymour, MD
• SH Beckett Lake, LLC.
• Susan M Shafii, MD
• Hiral Kirtikant Shah, MD
• Meena K Shah, MD
• Nileshkumar Shah

• Skilled Nursing Facility in Clearwater, FL
• Providers in Clearwater, 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 Oct 5, 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.