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ST. CLOUD SLC OPCO, LLC
NPI 1295435311
Assisted Living Facility in Saint Cloud, FL

Active since March 07, 2023CLIA 10D2295135 · Waiver
3791 OLD CANOE CREEK RD, SAINT CLOUD, FL 34769(407) 892-8502 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About St. Cloud Slc Opco, Llc NPPES

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

ST. CLOUD SLC OPCO, LLC (NPI 1295435311) is a healthcare organization registered as an assisted living facility in Saint Cloud, Florida and active in the NPI registry since March 2023. The organization holds a CLIA Waiver certificate valid through December 5, 2027 and lists Pilar Carvajal, Ceo, as its authorized official.

NPPES Registry Identity

NPI1295435311
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameST. CLOUD SLC OPCO, LLC
Location Address3791 OLD CANOE CREEK RDSaint Cloud, FL 34769-6630
Mailing Address941 W Morse Blvd Ste 100Winter Park, FL 32789-3781 · (305) 428-2480 · Fax (305) 428-2480
Phone(407) 892-8502
Organization SubpartNo
Authorized OfficialPilar CarvajalCeo · (305) 428-2480
Enumeration DateMarch 7, 2023
NPPES CertifiedMarch 7, 2023
✔ NPI 1295435311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
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 OLD CANOE CREEK RD, Saint Cloud, FL 34769
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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 10D2295135

St Cloud Slc Opco LLC Dba The Club At Stcloud · Saint Cloud, FL
Active · expires Dec 5, 2027
CLIA Number10D2295135
Laboratory TypeAssisted Living Facility
Certificate Effective DateDecember 6, 2025
Certificate Expiration DateDecember 5, 2027
Laboratory DirectorJudith Mellon
Laboratory Phone(407) 892-8502
Laboratory LocationSt Cloud Slc Opco LLC Dba The Club At Stcloud3791 Old Canoe Creek Rd, Saint Cloud, FL 34772
CLIA data matches this NPI record on: Address Name Phone
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.

SAMANTHA MASON
Occupational Therapist
3791 OLD CANOE CREEK RD
SAINT CLOUD, FL 34769
Osceola County (407) 979-4485
LAUREN DEUELL DPT
Physical Therapist
3791 OLD CANOE CREEK RD
SAINT CLOUD, FL 34769
Osceola County (914) 946-5685
SENIOR LIVING PROPERTIES III, LLC
Assisted Living Facility
3791 OLD CANOE CREEK RD
SAINT CLOUD, FL 34769
Osceola County (407) 892-8502

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 St. Cloud Slc Opco, LLC's NPI number?

The NPI number for St. Cloud Slc Opco, LLC is 1295435311. It was assigned to this organization in the NPPES registry on March 7, 2023.

Where is St. Cloud Slc Opco, LLC located?

St. Cloud Slc Opco, LLC is located at 3791 Old Canoe Creek Rd, Saint Cloud, FL 34769. The listed phone number is (407) 892-8502.

What is St. Cloud Slc Opco, LLC's specialty?

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

Does St. Cloud Slc Opco, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2295135) is associated with this NPI, valid through December 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for St. Cloud Slc Opco, LLC was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.