Crystal Oaks Of Pinellas

LBN: Phi Llc
Crystal Oaks Of Pinellas is an health care organization with primary practice located at 6767 86Th Ave North , Pinellas Park FL 33782-4597. 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. Phi Llc can be contacted via phone (727) 548-5566, or through Denham, Joyce S via phone (727) 548-5566.

Contact Information

Primary practice address
6767 86Th Ave North Pinellas Park FL 33782-4597
Phone: (727) 548-5566
Fax: (727) 548-6644
Website:
Map and Directions
Authorized official contact:
Name: Denham, Joyce S LNHA
Phone: (727) 548-5566

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X SNF130470981 Florida

Profile Details

NPI number 1770579906
LBN Legal business name Phi Llc
DBA Doing business as Crystal Oaks Of Pinellas
Authorized official Denham, Joyce S LNHA
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2005
Last updated Jun 26th, 2008 - about 17 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 1770579906 NPPES
Florida Other 35960917 STATE FACILITY MDS ID NUM
Florida MEDICAID 026435100 STATE FACILITY MDS ID NUM

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