PARC COTTAGES
NPI 1477680916
Intermediate Care Facility, Intellectual Disabilities in St Petersburg, FL

Active since February 28, 2007
3190 75TH ST N, ST PETERSBURG, FL 33710(727) 345-9111(727) 345-7130 Get Directions Write a Review

NPPES record last updated: November 24, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 24, 2021, Oct 14, 2021, Aug 22, 2020 (3 updates tracked since 2020).

About Parc Cottages NPPES

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

PARC COTTAGES (NPI 1477680916) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in St Petersburg, Florida and active in the NPI registry since February 2007. The organization lists Mark Wayne Cavanaugh, Owner, as its authorized official.

NPPES Registry Identity

NPI1477680916
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NamePARC INC
Location Address3190 75TH ST NSt Petersburg, FL 33710-2326
Mailing Address3190 75th St NSt Petersburg, FL 33710-2326 · (727) 345-9111 · Fax (727) 345-7130
Fax(727) 345-7130
Organization SubpartNo
Authorized OfficialMark Wayne CavanaughOwner · (727) 345-9111
Enumeration DateFebruary 28, 2007
Last NPPES UpdateNovember 24, 20213 updates tracked since enumeration
NPPES CertifiedNovember 24, 2021
NPI 1477680916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
Licenses Licensed in FL · 4054095 Licensed in FL · 4055095
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
3190 75TH ST N, St Petersburg, FL 33710

Other Names 1

Doing Business AsParc Cottages

Other Identifiers 2

Medicaid028035600FL
Medicaid028505600FL

Other Providers at the Same Location NPPES

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

Behavior Technician
3190 75TH ST N
ST PETERSBURG, FL 33710

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 Parc Inc's NPI number?

The NPI number for Parc Inc is 1477680916. It was assigned to this organization in the NPPES registry on February 28, 2007. The provider is doing business as Parc Cottages.

Where is Parc Inc located?

Parc Inc is located at 3190 75th St N, St Petersburg, FL 33710. The listed phone number is (727) 345-9111.

What is Parc Inc's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Parc Inc was last updated on November 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.