Long Term Care Of St. Petersburg

LBN: Ltcsp St. Petersburg, Llc
Long Term Care Of St. Petersburg is an health care organization with primary practice located at 3479 54Th Ave N , St Petersburg FL 33714-2426. 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. Ltcsp St. Petersburg, Llc can be contacted via phone (727) 527-7315, or through Jaffe, Howard via phone (215) 346-6454.

Contact Information

Primary practice address
3479 54Th Ave N St Petersburg FL 33714-2426
Phone: (727) 527-7315
Fax: (727) 526-5887
Website:
Map and Directions
Authorized official contact:
Name: Jaffe, Howard
Phone: (215) 346-6454

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X SNF14800962 Florida

Profile Details

NPI number 1740284223
LBN Legal business name Ltcsp St. Petersburg, Llc
DBA Doing business as Long Term Care Of St. Petersburg
Authorized official Jaffe, Howard
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2005
Last updated Oct 5th, 2012 - about 13 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 1740284223 NPPES
Florida MEDICAID 028190500

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