Organization Active NPI

Gift of Life

  • Case Management Agency
  • Pinellas Park, FL
National Provider Identifier
1972620052
Registry record updated Dec 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
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

Updated by the provider on Dec 17, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
757593900MedicaidFL

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.