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PICKETT FENCE MANOR, INC
NPI 1023228038
Assisted Living Facility in St Petersburg, FL

Active since May 22, 2007
1662 DR MARTIN LUTHER KING JR ST S, ST PETERSBURG, FL 33701(727) 742-6974 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pickett Fence Manor, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PICKETT FENCE MANOR, INC (NPI 1023228038) is a healthcare organization registered as an assisted living facility in St Petersburg, Florida and active in the NPI registry since May 2007. The organization lists Marlene Berthelot, Owner, as its authorized official.

NPPES Registry Identity

NPI1023228038
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NamePICKETT FENCE MANOR, INC
Location Address1662 DR MARTIN LUTHER KING JR ST SSt Petersburg, FL 33701-5701
Mailing Address1662 Dr Martin Luther King Jr St SSt Petersburg, FL 33701-5701 · (727) 742-6974
Phone(727) 742-6974
Organization SubpartNo
Authorized OfficialMarlene BerthelotOwner · (727) 742-6974
Enumeration DateMay 22, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1023228038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in FL · 7822
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
1662 DR MARTIN LUTHER KING JR ST S, St Petersburg, FL 33701
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pickett Fence Manor, Inc's NPI number?

The NPI number for Pickett Fence Manor, Inc is 1023228038. It was assigned to this organization in the NPPES registry on May 22, 2007.

Where is Pickett Fence Manor, Inc located?

Pickett Fence Manor, Inc is located at 1662 Dr Martin Luther King Jr St S, St Petersburg, FL 33701. The listed phone number is (727) 742-6974.

What is Pickett Fence Manor, Inc's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Pickett Fence Manor, Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.