MEDERI OF PINELLAS COUNTY, INC NPI 1003802158

Home Health in Pinellas Park, FL

Organization Home Health

About MEDERI OF PINELLAS COUNTY, INC

Mederi Of Pinellas County, Inc is a provider established in Pinellas Park, Florida specializing in home health. The NPI number of Mederi Of Pinellas County, Inc is 1003802158 and was assigned on September 2005. The practitioner's primary taxonomy code is 251E00000X with license number 21923096 (FL). The provider is registered as an organization and their NPI record was last updated 12 years ago.
The authorized official of this NPI record is Mr. C. Steven Guenthner (Sr Vp, Cfo)

NPI

1003802158

Provider NameMEDERI OF PINELLAS COUNTY, INC
Provider Location Address7800 66TH ST SUITE 206 PINELLAS PARK, FL 33781
Provider Mailing Address9510 ORMSBY STATION RD SUITE 300 LOUISVILLE, KY 40223
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?N/A
Enumeration Date09-23-2005
Last Update Date07-08-2007

Primary Taxonomy

Taxonomy Code251E00000X
ClassificationHome Health
TypeAgencies
License No.21923096
License StateFL
Taxonomy DescriptionA public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Business Address

MEDERI OF PINELLAS COUNTY, INC
7800 66TH ST
SUITE 206
PINELLAS PARK, FL
ZIP 33781
Phone: (727) 546-8080
Fax: (727) 546-8010

Get Directions

Mailing Address

MEDERI OF PINELLAS COUNTY, INC
9510 ORMSBY STATION RD
SUITE 300
LOUISVILLE, KY
ZIP 40223
Phone: (502) 891-1000
Fax: (502) 891-8067

Authorized Official

Authorized Official NameMR. C. STEVEN GUENTHNER
Authorized Official TitleSR VP, CFO
Authorized Official Phone(502) 891-1000

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
10-7523MEDICARE ID-TYPE UNSPECIFIED (04)FL
JC8OTHER (01)FL

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1437362167COASTAL SPINE SPECIALISTS
Organization
7800 66TH ST SUITE 302
PINELLAS PARK, FL 33781
(727) 548-4880
1760504369MISS KIM BARTHOLOMEW POWERS DO
Individual
Family Medicine7800 66TH ST SUITE 105
PINELLAS PARK, FL 33781
(727) 541-0323
1912952482TAMPA BAY IMAGING LLC
Organization
Clinic/Center (Radiology)7800 66TH ST SUITE 106
PINELLAS PARK, FL 33781
(727) 545-9614

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

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