Bon Secours - Maria Manor Nursing Care Center Llc

LBN: Bon Secours - Maria Manor Nursing Care Center Llc
Bon Secours - Maria Manor Nursing Care Center Llc is an health care organization with primary practice located at 10300 4Th St North , St Petersburg FL 33716-3810. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Bon Secours - Maria Manor Nursing Care Center Llc can be contacted via phone (727) 568-1000, or through Ralston, Kimberly via phone (419) 996-5119.

Contact Information

Primary practice address
10300 4Th St North St Petersburg FL 33716-3810
Phone: (727) 568-1000
Fax: (727) 568-1088
Website:
Map and Directions
Authorized official contact:
Name: Ralston, Kimberly
Phone: (419) 996-5119

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X SNF1055096 Florida

Profile Details

NPI number 1013904234
LBN Legal business name Bon Secours - Maria Manor Nursing Care Center Llc
DBA Doing business as
Authorized official Ralston, Kimberly
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 3rd, 2005
Last updated Nov 3rd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013904234 NPPES
Florida MEDICAID 020010700

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