LAURELLWOOD CARE CENTER
NPI 1407355084
Skilled Nursing Facility in St Petersburg, FL

Active since February 08, 2018CLIA 10D1091775 · Waiver
3127 57TH AVE N, ST PETERSBURG, FL 33714(727) 527-2171 Get Directions Write a Review

NPPES record last updated: February 8, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Laurellwood Care Center NPPES

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

LAURELLWOOD CARE CENTER (NPI 1407355084) is a healthcare organization registered as a skilled nursing facility in St Petersburg, Florida and active in the NPI registry since February 2018. The organization holds a CLIA Waiver certificate valid through November 9, 2026 and lists Michael Bleich, Authorized Representative, as its authorized official.

NPPES Registry Identity

NPI1407355084
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameLAURELLWOOD FACILITY INC
Location Address3127 57TH AVE NSt Petersburg, FL 33714-1320
Mailing Address400 Rella Blvd Ste 200Montebello, NY 10901-4239 · (845) 490-6060
Organization SubpartNo
Authorized OfficialMichael BleichAuthorized Representative · (845) 641-8314
Enumeration DateFebruary 8, 2018
NPI 1407355084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
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.
3127 57TH AVE N, St Petersburg, FL 33714

Other Names 1

Doing Business AsLaurellwood Care Center

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 10D1091775

Laurellwood Opco, LLC · Saint Petersburg, FL
Active · expires Nov 9, 2026
CLIA Number10D1091775
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateNovember 10, 2024
Certificate Expiration DateNovember 9, 2026
Laboratory DirectorKathy Bortolot
Laboratory Phone(727) 527-2171
Laboratory LocationLaurellwood Opco, LLC3127 57th Ave N, Saint Petersburg, FL 33714
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

Skilled Nursing Facility
3127 57TH AVE N
ST PETERSBURG, FL 33714
Skilled Nursing Facility
3127 57TH AVE N
ST PETERSBURG, FL 33714
Skilled Nursing Facility
3127 57TH AVE N
ST PETERSBURG, FL 33714
Skilled Nursing Facility
3127 57TH 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 Laurellwood Facility Inc's NPI number?

The NPI number for Laurellwood Facility Inc is 1407355084. It was assigned to this organization in the NPPES registry on February 8, 2018. The provider is doing business as Laurellwood Care Center.

Where is Laurellwood Facility Inc located?

Laurellwood Facility Inc is located at 3127 57th Ave N, St Petersburg, FL 33714. The listed phone number is (727) 527-2171.

What is Laurellwood Facility Inc's specialty?

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

Does Laurellwood Facility Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1091775) is associated with this NPI, valid through November 9, 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 Laurellwood Facility Inc was last updated on February 8, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.