Jacaranda Manor

LBN: St Petersburg Nursing Home, Llc
Jacaranda Manor is an health care organization with primary practice located at 4250 66Th St N , Kenneth City FL 33709-4918. 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. St Petersburg Nursing Home, Llc can be contacted via phone (727) 546-2405, or through Burdette, Michelle via phone (423) 308-1845.

Contact Information

Primary practice address
4250 66Th St N Kenneth City FL 33709-4918
Phone: (727) 546-2405
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Burdette, Michelle
Phone: (423) 308-1845

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X SNF1252096 Florida

Profile Details

NPI number 1366433385
LBN Legal business name St Petersburg Nursing Home, Llc
DBA Doing business as Jacaranda Manor
Authorized official Burdette, Michelle
Entity Organization
Organization subpart 1 No
Enumeration date Oct 31st, 2005
Last updated Aug 22nd, 2020 - about 3 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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