PALM GARDEN OF TAMPA
NPI 1629074851
Skilled Nursing Facility in Tampa, FL

Active since June 22, 2005
3612 E 138TH AVE, TAMPA, FL 33613(813) 972-8775(813) 978-0680 Get Directions Write a Review

NPPES record last updated: July 22, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Palm Garden Of Tampa NPPES

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

PALM GARDEN OF TAMPA (NPI 1629074851) is a healthcare organization registered as a skilled nursing facility in Tampa, Florida and active in the NPI registry since June 2005. The organization lists Alex Paley, Coo, as its authorized official.

NPPES Registry Identity

NPI1629074851
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameSA PG-TAMPA LLC
Location Address3612 E 138TH AVETampa, FL 33613-4703
Mailing Address3612 E 138th AveTampa, FL 33613-4703 · (813) 972-8775 · Fax (813) 978-0680
Fax(813) 978-0680
Organization SubpartNo
Authorized OfficialAlex PaleyCoo · (914) 390-4363
Enumeration DateJune 22, 2005
Last NPPES UpdateJuly 22, 2008
NPI 1629074851 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 · SNF1420095
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.
3612 E 138TH AVE, Tampa, FL 33613

Other Names 1

Doing Business AsPalm Garden Of Tampa

Other Identifiers 2

Medicare OSCAR/certification105591FL
Medicaid025752400FL

Other Providers at the Same Location NPPES 5

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

Skilled Nursing Facility
3612 E 138TH AVE
TAMPA, FL 33613
Skilled Nursing Facility (Nursing Care, Pediatric)
3612 E 138TH AVE
TAMPA, FL 33613
Physical Therapist
3612 E 138TH AVE
TAMPA, FL 33613
Speech-Language Pathologist
3612 E 138TH AVE
TAMPA, FL 33613
Occupational Therapy Assistant
3612 E 138TH AVE
TAMPA, FL 33613

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 Sa Pg-Tampa LLC's NPI number?

The NPI number for Sa Pg-Tampa LLC is 1629074851. It was assigned to this organization in the NPPES registry on June 22, 2005. The provider is doing business as Palm Garden Of Tampa.

Where is Sa Pg-Tampa LLC located?

Sa Pg-Tampa LLC is located at 3612 E 138th Ave, Tampa, FL 33613. The listed phone number is (813) 972-8775.

What is Sa Pg-Tampa LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Sa Pg-Tampa LLC was last updated on July 22, 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.