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FOUR PALMS MANOR INC
NPI 1417167420
Assisted Living Facility in St Petersburg, FL

Active since May 22, 2007
302 11TH AVE NE, ST PETERSBURG, FL 33701(727) 742-6974 Get Directions Write a Review

NPPES record last updated: July 16, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Four Palms Manor Inc NPPES

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

FOUR PALMS MANOR INC (NPI 1417167420) is a healthcare organization registered as an assisted living facility in St Petersburg, Florida and active in the NPI registry since May 2007. The organization lists Marlene Berthelot, Owner, as its authorized official.

NPPES Registry Identity

NPI1417167420
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameFOUR PALMS MANOR INC
Location Address302 11TH AVE NESt Petersburg, FL 33701-1926
Mailing Address302 11th Ave NeSt Petersburg, FL 33701-1926 · (727) 742-6974
Phone(727) 742-6974
Organization SubpartNo
Authorized OfficialMarlene BerthelotOwner · (727) 742-6974
Enumeration DateMay 22, 2007
Last NPPES UpdateJuly 16, 2008
✔ NPI 1417167420 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 · 0016
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.
302 11TH AVE NE, St Petersburg, FL 33701
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Other Providers at the Same Location NPPES 2

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

TOUCHED BY FAITH INC
Community/Behavioral Health
302 11TH AVE NE
SAINT PETERSBURG, FL 33701
Pinellas County (727) 202-8932
COZY CARE MANOR LLC
Assisted Living Facility
302 11TH AVE NE
ST PETERSBURG, FL 33701
Pinellas County (727) 894-4572

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 Four Palms Manor Inc's NPI number?

The NPI number for Four Palms Manor Inc is 1417167420. It was assigned to this organization in the NPPES registry on May 22, 2007.

Where is Four Palms Manor Inc located?

Four Palms Manor Inc is located at 302 11th Ave NE, St Petersburg, FL 33701. The listed phone number is (727) 742-6974.

What is Four Palms Manor Inc'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 Four Palms Manor Inc was last updated on July 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.