Bay Pines Manor

LBN: Catherine Manor, Llc
Bay Pines Manor is an health care organization with primary practice located at 10591 Bay Pines Blvd , St Petersburg FL 33708-3101. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Catherine Manor, Llc can be contacted via phone (727) 391-5965, or through Grady, Michael Thomas via phone (727) 488-3520.

Contact Information

Primary practice address
10591 Bay Pines Blvd St Petersburg FL 33708-3101
Phone: (727) 391-5965
Fax: (727) 391-5965
Website:
Map and Directions
Authorized official contact:
Name: Grady, Michael Thomas
Phone: (727) 488-3520

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X AL7797 Florida

Profile Details

NPI number 1568755064
LBN Legal business name Catherine Manor, Llc
DBA Doing business as Bay Pines Manor
Authorized official Grady, Michael Thomas
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 2011
Last updated May 17th, 2011 - about 15 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 1568755064 NPPES
Florida MEDICAID 142048800

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