Palm Garden Of Pinellas

LBN: Sa-Pg Pinellas, Llc
Palm Garden Of Pinellas is an health care organization with primary practice located at 200 16Th Ave Se , Largo FL 33771-4400. 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. Sa-Pg Pinellas, Llc can be contacted via phone (727) 585-9377, or through Wertheim, Bruce via phone (914) 390-4322.

Contact Information

Primary practice address
200 16Th Ave Se Largo FL 33771-4400
Fax: (727) 588-9038
Website:
Authorized official contact:
Name: Wertheim, Bruce

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X SNF1418095 Florida

Profile Details

NPI number 1013913235
LBN Legal business name Sa-Pg Pinellas, Llc
DBA Doing business as Palm Garden Of Pinellas
Authorized official Wertheim, Bruce
Entity Organization
Organization subpart 1 No
Enumeration date Jun 22nd, 2005
Last updated Jul 23rd, 2008 - about 16 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 1013913235 NPPES
Florida MEDICAID 025750800

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