LP Port St Joe LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF1038096 Issued in FL

Legal business name

LP PORT ST JOE LLC

Practice address

220 9TH St
Port St Joe, FL 32456-1924

Phone

(850) 229-8244

Fax

(850) 229-1042

NPI assigned

Jul 26, 2007

Organization subpart

Yes

Parent organization

LP CR HOLDINGS LLCAs reported in NPPES

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

Authorized official

Name

Mr. John Harrison

Title

Cfo

Phone

(502) 568-7800

Specialties & licenses 1

Addresses

Other names 1

• The Bridge at Bay St. Joe Doing business as

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287446400000",
    "number": "1972793057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12201 BLUEGRASS PARKWAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402992361",
            "telephone_number": "502-568-7800",
            "fax_number": "502-568-7150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 9TH ST",
            "city": "PORT ST JOE",
            "state": "FL",
            "postal_code": "324561924",
            "telephone_number": "850-229-8244",
            "fax_number": "850-229-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LP PORT ST JOE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LP CR HOLDINGS LLC",
        "enumeration_date": "2007-07-26",
        "last_updated": "2010-10-19",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "502-568-7800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF1038096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Bridge at Bay St. Joe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth L Lawrence, MS
• Erica Lawrence
• Life Management of NW FL, Inc.
• Jane Liu, PH.D.
• Douglas G Long, MD
• Katie J Marks, APRN
• Tamara A Marsh, DPM
• Daniel May
• Frank D May, D.M.D. , P.A.
• Brittany Gardner McCroan, APRN

• Skilled Nursing Facility in Port St Joe, FL
• Providers in Port St Joe, 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 19, 2010; 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.