Organization Active NPI

Gulf Shore Facility Inc

  • Skilled Nursing Facility
  • Pinellas Park, FL
National Provider Identifier
1982091476
Registry record updated Apr 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
SNF130470981 Issued in FL
Legal business name
GULF SHORE FACILITY INC
Doing business as
Gulf Shore Care Center
Practice address
6767 86TH Avenure North
Pinellas Park, FL 33782-4597
Phone
(727) 584-5566
NPI assigned
Apr 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2015

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

Authorized official

Name
Mr. Michael Bleich
Title
Authorized Representative
Phone
(845) 641-8314

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X SNF130470981 FL Primary

Addresses

Primary practice location

6767 86TH Avenure North
Pinellas Park, FL 33782-4597

Mailing address

4302 Hollywood Blvd
#369
Hollywood, FL 33021-6635

Other names 1

  • Gulf Shore Care Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430265600000",
    "number": "1982091476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4302 HOLLYWOOD BLVD",
            "address_2": "#369",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6767 86TH AVENURE NORTH",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337824597",
            "telephone_number": "727-584-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF SHORE FACILITY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-22",
        "last_updated": "2015-04-29",
        "status": "A",
        "authorized_official_last_name": "BLEICH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "845-641-8314",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF130470981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gulf Shore Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 29, 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.