Organization Active NPI

Solutions 4 Life Inc

  • Health Maintenance Organization
  • St Petersburg, FL
National Provider Identifier
1962789198
Registry record updated Jan 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
FL SW6302 Issued in FL
Legal business name
SOLUTIONS 4 LIFE INC
Practice address
6739 1St Ave S
St Petersburg, FL 33707-1307
Phone
(727) 341-1000
Fax
(727) 341-1000
NPI assigned
Nov 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2014

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

Authorized official

Name
Ms. Kimberly Donat Ali, LCSWNPI 1396807137
Title
Director
Phone
(727) 341-1000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X FL SW6302 FL Primary

Addresses

Primary practice location

6739 1St Ave S
St Petersburg, FL 33707-1307

Mailing address

6739 1St Ave S
St Petersburg, FL 33707-1307
Phone (727) 341-1000

Other identifiers 1

IdentifierTypeStateIssuer
278611MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140523001068 FL Part B Supplier - Clinic/Group Practice 4183847973 Receives reassigned benefits from 1 practitioner
Practice locations: St Petersburg, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391040000000",
    "number": "1962789198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6739 1ST AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337071307",
            "telephone_number": "727-341-1000",
            "fax_number": "727-341-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6739 1ST AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337071307",
            "telephone_number": "727-341-1000",
            "fax_number": "727-341-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLUTIONS 4 LIFE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-16",
        "last_updated": "2014-01-30",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "DONAT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "727-341-1000",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "FL",
            "license": "FL SW6302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278611",
            "state": "FL"
        }
    ],
    "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 Jan 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.