KATIE HAYNES
NPI 1649745399
Custodial Care Facility - Adult Care Home in St Petersburg, FL

Active since October 09, 2018
4123 WHITING DR SE, ST PETERSBURG, FL 33705(727) 276-2515 Get Directions Write a Review

NPPES record last updated: January 15, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 15, 2020, Aug 9, 2019, Oct 9, 2018 (3 updates tracked since 2018).

About Katie Haynes NPPES

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

KATIE HAYNES (NPI 1649745399) is a healthcare organization registered as an adult care home in St Petersburg, Florida and active in the NPI registry since October 2018. The organization lists Katie Haynes, Owner Caregiver, as its authorized official.

NPPES Registry Identity

NPI1649745399
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameKATIE HAYNES
Location Address4123 WHITING DR SESt Petersburg, FL 33705-4061
Mailing Address4123 Whiting Dr SeSt Petersburg, FL 33705-4061 · (727) 276-2515
Organization SubpartNo
Authorized OfficialKatie HaynesOwner Caregiver · (727) 276-2515
Enumeration DateOctober 9, 2018
Last NPPES UpdateJanuary 15, 20203 updates tracked since enumeration
NPI 1649745399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
4123 WHITING DR SE, St Petersburg, FL 33705

Other Names 1

Other NameKatie Haynes

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 Katie Haynes's NPI number?

The NPI number for Katie Haynes is 1649745399. It was assigned to this organization in the NPPES registry on October 9, 2018.

Where is Katie Haynes located?

Katie Haynes is located at 4123 Whiting Dr SE, St Petersburg, FL 33705. The listed phone number is (727) 276-2515.

What is Katie Haynes's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Katie Haynes was last updated on January 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.