EAGLE LAKE OPCO LLC
NPI 1659265965
Skilled Nursing Facility in St Petersburg, FL
About Eagle Lake Opco Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EAGLE LAKE OPCO LLC (NPI 1659265965) is a healthcare organization registered as a skilled nursing facility in St Petersburg, Florida and active in the NPI registry since June 2025. The organization lists Steven Bicky, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ST PETERSBURG, FL 33710
SAINT 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 Eagle Lake Opco LLC's NPI number?
The NPI number for Eagle Lake Opco LLC is 1659265965. It was assigned to this organization in the NPPES registry on June 3, 2025.
Where is Eagle Lake Opco LLC located?
Eagle Lake Opco LLC is located at 1100 66th St N, St Petersburg, FL 33710. The listed phone number is (914) 548-7617.
What is Eagle Lake Opco 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 Eagle Lake Opco LLC was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.