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BIMINI MANOR
NPI 1194015636
Assisted Living Facility in Pinellas Park, FL

Active since April 18, 2011
3791 67TH AVE N, PINELLAS PARK, FL 33781(727) 458-6621 Get Directions Write a Review

NPPES record last updated: March 17, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bimini Manor NPPES

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

BIMINI MANOR (NPI 1194015636) is a healthcare organization registered as an assisted living facility in Pinellas Park, Florida and active in the NPI registry since April 2011. The organization lists Laura Keller, Owner, as its authorized official.

NPPES Registry Identity

NPI1194015636
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameBIMINI MANOR
Location Address3791 67TH AVE NPinellas Park, FL 33781-6174
Mailing Address3791 67th Ave NPinellas Park, FL 33781-6174 · (727) 458-6621
Phone(727) 458-6621
Organization SubpartNo
Authorized OfficialLaura KellerOwner · (727) 458-6621
Enumeration DateApril 18, 2011
Last NPPES UpdateMarch 17, 2014
✔ NPI 1194015636 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 · AL10566
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.
3791 67TH AVE N, Pinellas Park, FL 33781
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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 Bimini Manor's NPI number?

The NPI number for Bimini Manor is 1194015636. It was assigned to this organization in the NPPES registry on April 18, 2011.

Where is Bimini Manor located?

Bimini Manor is located at 3791 67th Ave N, Pinellas Park, FL 33781. The listed phone number is (727) 458-6621.

What is Bimini Manor'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 Bimini Manor was last updated on March 17, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.