St. Joseph'S John Knox Village
LBN: John Knox Village Of Tampa Bay Inc
St. Joseph'S John Knox Village is an health care organization with primary practice located at 4100 E. Fletcher Ave , Tampa FL 33613-4863. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Assisted Living Facility is the primary health care specialty.
John Knox Village Of Tampa Bay Inc can be contacted via phone (813) 632-2455, or through Lyons, Lisa Vicario via phone (813) 632-2391.
Contact Information
Primary practice address
4100 E. Fletcher Ave
Tampa FL 33613-4863
Phone: (813) 632-2455
Fax: (813) 632-2388
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Assisted Living Facility | 310400000X | AL4110 | Florida |
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | SNF1260095 | Florida |
Profile Details
| NPI number | 1760479901 |
|---|---|
| LBN Legal business name | John Knox Village Of Tampa Bay Inc |
| DBA Doing business as | St. Joseph'S John Knox Village |
| Authorized official | Lyons, Lisa Vicario NHA, CPA |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Oct 3rd, 2005 |
| Last updated | Nov 7th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760479901 | NPPES |
| Florida | MEDICAID | 021028500 | |
| Florida | Other | K68 |
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