SHORE ACRES CARE CENTER
NPI 1174900302
Skilled Nursing Facility in St Petersburg, FL

Active since April 27, 2015CLIA 10D1082327 · Waiver
4500 INDIANAPOLIS ST NE, ST PETERSBURG, FL 33703(727) 209-4600 Get Directions Write a Review

NPPES record last updated: May 5, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shore Acres Care Center NPPES

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

SHORE ACRES CARE CENTER (NPI 1174900302) is a healthcare organization registered as a skilled nursing facility in St Petersburg, Florida and active in the NPI registry since April 2015. The organization holds a CLIA Waiver certificate valid through April 6, 2028 and lists Michael Bleich, Authorized Representative, as its authorized official.

NPPES Registry Identity

NPI1174900302
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameSHORE FACILITY INC
Location Address4500 INDIANAPOLIS ST NESt Petersburg, FL 33703-4317
Mailing Address4302 Hollywood BlvdHollywood, FL 33021-6635
Organization SubpartNo
Authorized OfficialMichael BleichAuthorized Representative · (845) 641-8314
Enumeration DateApril 27, 2015
Last NPPES UpdateMay 5, 2015
NPI 1174900302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in FL · SNF1499095
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.
4500 INDIANAPOLIS ST NE, St Petersburg, FL 33703

Other Names 1

Doing Business AsShore Acres Care Center

Other Identifiers 1

Medicare OSCAR/certification105050FL

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D1082327

Shore Acres Care Center · Saint Petersburg, FL
Active · expires Apr 6, 2028
CLIA Number10D1082327
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateApril 7, 2026
Certificate Expiration DateApril 6, 2028
Laboratory DirectorAlphonse Johnson
Laboratory Phone(727) 527-5801
Laboratory LocationShore Acres Care Center4500 Indianapolis St NE, Saint Petersburg, FL 33703
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Skilled Nursing Facility
4500 INDIANAPOLIS ST NE
ST PETERSBURG, FL 33703
Skilled Nursing Facility
4500 INDIANAPOLIS ST NE
ST PETERSBURG, FL 33703
Skilled Nursing Facility
4500 INDIANAPOLIS ST NE
ST PETERSBURG, FL 33703

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 Shore Facility Inc's NPI number?

The NPI number for Shore Facility Inc is 1174900302. It was assigned to this organization in the NPPES registry on April 27, 2015. The provider is doing business as Shore Acres Care Center.

Where is Shore Facility Inc located?

Shore Facility Inc is located at 4500 Indianapolis St NE, St Petersburg, FL 33703. The listed phone number is (727) 209-4600.

What is Shore Facility Inc's specialty?

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

Does Shore Facility Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1082327) is associated with this NPI, valid through April 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Shore Facility Inc was last updated on May 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.