REHABILITATION CENTER OF ST PETE
NPI 1063766707
Skilled Nursing Facility in Saint Petersburg, FL

Active since November 02, 2012
435 42ND AVE S, SAINT PETERSBURG, FL 33705(727) 822-1871(727) 894-0836 Get Directions Write a Review

NPPES record last updated: November 2, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Rehabilitation Center Of St Pete NPPES

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

REHABILITATION CENTER OF ST PETE (NPI 1063766707) is a healthcare organization registered as a skilled nursing facility in Saint Petersburg, Florida and active in the NPI registry since November 2012. The organization lists Tzvi Bogomilsky, Authorized Member, as its authorized official.

NPPES Registry Identity

NPI1063766707
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameBAYOU SHORES SNF LLC
Location Address435 42ND AVE SSaint Petersburg, FL 33705-4504
Mailing Address1835 Ne Miami Gardens Dr # 368North Miami Beach, FL 33179-5035
Fax(727) 894-0836
Organization SubpartNo
Authorized OfficialTzvi BogomilskyAuthorized Member · (305) 403-1400
Enumeration DateNovember 2, 2012
NPI 1063766707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
435 42ND AVE S, Saint Petersburg, FL 33705

Other Names 1

Doing Business AsRehabilitation Center Of St Pete

Other Identifiers 2

Medicare OSCAR/certification105772FL
Medicaid000640800FL

Accepted Insurance

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
435 42ND AVE S
ST PETERSBURG, FL 33705
Skilled Nursing Facility
435 42ND AVE S
ST PETERSBURG, FL 33705
Assisted Living Facility
435 42ND AVE S
ST PETERSBURG, FL 33705
Registered Nurse (Wound Care)
435 42ND AVE S
ST PETERSBURG, FL 33705

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 Bayou Shores Snf LLC's NPI number?

The NPI number for Bayou Shores Snf LLC is 1063766707. It was assigned to this organization in the NPPES registry on November 2, 2012. The provider is doing business as Rehabilitation Center Of St Pete.

Where is Bayou Shores Snf LLC located?

Bayou Shores Snf LLC is located at 435 42nd Ave S, Saint Petersburg, FL 33705. The listed phone number is (727) 822-1871.

What is Bayou Shores Snf LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

What insurance does Bayou Shores Snf LLC accept?

Health plans from AvMed list Bayou Shores Snf LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bayou Shores Snf LLC was last updated on November 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.