<Unavail>

LBN: Bayou Shores Snf Llc
<Unavail> is an health care organization with primary practice located at 435 42Nd Ave S , Saint Petersburg FL 33705-4504. 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. Bayou Shores Snf Llc can be contacted via phone (727) 822-1871, or through Bogomilsky, Tzvi via phone (305) 403-1400.

Contact Information

Primary practice address
435 42Nd Ave S Saint Petersburg FL 33705-4504
Phone: (727) 822-1871
Fax: (727) 894-0836
Website:
Map and Directions
Authorized official contact:
Name: Bogomilsky, Tzvi
Phone: (305) 403-1400

Health care specialties

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

Profile Details

NPI number 1063766707
LBN Legal business name Bayou Shores Snf Llc
DBA Doing business as <Unavail>
Authorized official Bogomilsky, Tzvi
Entity Organization
Organization subpart 1 No
Enumeration date Nov 2nd, 2012
Last updated Nov 2nd, 2012 - about 14 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 1063766707 NPPES
Florida MEDICAID 000640800

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