JACARANDA MANOR
NPI 1366433385
Skilled Nursing Facility in Kenneth City, FL

Active since October 31, 2005
4250 66TH ST N, KENNETH CITY, FL 33709(727) 546-2405 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacaranda Manor NPPES

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

JACARANDA MANOR (NPI 1366433385) is a healthcare organization registered as a skilled nursing facility in Kenneth City, Florida and active in the NPI registry since October 2005. The organization lists Michelle Burdette, Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1366433385
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameST PETERSBURG NURSING HOME, LLC
Location Address4250 66TH ST NKenneth City, FL 33709-4918
Mailing Address4250 66th St NKenneth City, FL 33709-4918 · (727) 546-2405
Organization SubpartNo
Authorized OfficialMichelle BurdetteDirector Of Finance · (423) 308-1845
Enumeration DateOctober 31, 2005
Last NPPES UpdateAugust 22, 2020
NPI 1366433385 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 · SNF1252096
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.
4250 66TH ST N, Kenneth City, FL 33709

Other Names 1

Doing Business AsJacaranda Manor

Accepted Insurance

Other Providers at the Same Location NPPES 12

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

Social Worker (Clinical)
4250 66TH ST N
KENNETH CITY, FL 33709
Speech-Language Pathologist
4250 66TH ST N
KENNETH CITY, FL 33709
Speech-Language Pathologist
4250 66TH ST N
KENNETH CITY, FL 33709
Skilled Nursing Facility
4250 66TH ST N
KENNETH CITY, FL 33709
Physical Therapist
4250 66TH ST N
KENNETH CITY, FL 33709
Social Worker (Clinical)
4250 66TH ST N
KENNETH CITY, FL 33709
Social Worker (Clinical)
4250 66TH ST N
KENNETH CITY, FL 33709
Nurse Practitioner (Family)
4250 66TH ST N
KENNETH CITY, FL 33709

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 Petersburg Nursing Home, LLC's NPI number?

The NPI number for St Petersburg Nursing Home, LLC is 1366433385. It was assigned to this organization in the NPPES registry on October 31, 2005. The provider is doing business as Jacaranda Manor.

Where is St Petersburg Nursing Home, LLC located?

St Petersburg Nursing Home, LLC is located at 4250 66th St N, Kenneth City, FL 33709. The listed phone number is (727) 546-2405.

What is St Petersburg Nursing Home, LLC's specialty?

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

What insurance does St Petersburg Nursing Home, LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list St Petersburg Nursing Home, 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 St Petersburg Nursing Home, LLC 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.