AMELIA ALF
NPI 1407238504
Assisted Living Facility - Assisted Living, Mental Illness in St Petersburg, FL

Active since June 24, 2015CLIA 10D2200720 · Waiver
2135 40TH AVE N, ST PETERSBURG, FL 33714(813) 943-5380 Get Directions Write a Review

NPPES record last updated: June 24, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Amelia Alf NPPES

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

AMELIA ALF (NPI 1407238504) is a healthcare organization registered as an assisted living, mental illness in St Petersburg, Florida and active in the NPI registry since June 2015. The organization holds a CLIA Waiver certificate valid through November 16, 2026 and lists L Rene Bird, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1407238504
Entity TypeOrganization
Primary Taxonomy3104A0625X
Legal Business NameAMELIA ASSISTED LIVING FACILITY, INC
Location Address2135 40TH AVE NSt Petersburg, FL 33714-4124
Mailing Address12219 Swaying Moss CirRiverview, FL 33569-4718 · (813) 943-5380 · Fax (813) 354-4839
Organization SubpartNo
Authorized OfficialL Rene BirdOwner/president · (813) 943-5380
Enumeration DateJune 24, 2015
NPI 1407238504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code3104A0625X
License Licensed in FL · 1052
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
2135 40TH AVE N, St Petersburg, FL 33714

Other Names 1

Doing Business AsAmelia Alf

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 10D2200720

Amelia Assisted Living Facility Inc · Saint Petersburg, FL
Active · expires Nov 16, 2026
CLIA Number10D2200720
Laboratory TypeAssisted Living Facility
Certificate Effective DateNovember 17, 2024
Certificate Expiration DateNovember 16, 2026
Laboratory DirectorRene L. Bird
Laboratory Phone(813) 943-5380
Laboratory LocationAmelia Assisted Living Facility Inc2135 40th Ave N, Saint Petersburg, FL 33714
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Assisted Living Facility
2135 40TH AVE N
ST PETERSBURG, FL 33714

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 Amelia Assisted Living Facility, Inc's NPI number?

The NPI number for Amelia Assisted Living Facility, Inc is 1407238504. It was assigned to this organization in the NPPES registry on June 24, 2015. The provider is doing business as Amelia Alf.

Where is Amelia Assisted Living Facility, Inc located?

Amelia Assisted Living Facility, Inc is located at 2135 40th Ave N, St Petersburg, FL 33714. The listed phone number is (813) 943-5380.

What is Amelia Assisted Living Facility, Inc's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

Does Amelia Assisted Living Facility, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2200720) is associated with this NPI, valid through November 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Amelia Assisted Living Facility, Inc was last updated on June 24, 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.