Active NPI
Gift of Life
- Case Management Agency
- Pinellas Park, FL
National Provider Identifier
1972620052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- GIFT OF LIFE
- Practice address
- 4425 Park Blvd
Pinellas Park, FL 33781-3540 - Phone
- (727) 423-0892
- Fax
- (727) 547-6752
- NPI assigned
- Mar 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Jennifer L Parnell, BA
- Title
- Targeted Case Manager
- Phone
- (727) 423-0892
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
4425 Park Blvd
Pinellas Park, FL 33781-3540
Mailing address
4425 Park Blvd
Pinellas Park, FL 33781-3540
Phone (727) 423-0892
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 757593900 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1229472000000",
"number": "1972620052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4425 PARK BLVD",
"city": "PINELLAS PARK",
"state": "FL",
"postal_code": "337813540",
"telephone_number": "727-423-0892",
"fax_number": "727-547-6752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4425 PARK BLVD",
"city": "PINELLAS PARK",
"state": "FL",
"postal_code": "337813540",
"telephone_number": "727-423-0892",
"fax_number": "727-547-6752"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GIFT OF LIFE",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-23",
"last_updated": "2008-12-17",
"status": "A",
"authorized_official_last_name": "PARNELL",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "TARGETED CASE MANAGER",
"authorized_official_telephone_number": "727-423-0892",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "BA"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "757593900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pinellas Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.