AVENTURA BAY PLACE LLC
NPI 1881359248
Assisted Living Facility in St Petersburg, FL

Active since November 01, 2021CLIA 10D0984732 · Waiver
10401 ROOSEVELT BLVD N, ST PETERSBURG, FL 33716(727) 563-9733 Get Directions Write a Review

NPPES record last updated: November 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Aventura Bay Place Llc NPPES

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

AVENTURA BAY PLACE LLC (NPI 1881359248), doing business as Aventura Bay Place, is a healthcare organization registered as an assisted living facility in St Petersburg, Florida and active in the NPI registry since November 2021. The organization holds a CLIA Waiver certificate valid through March 28, 2027 and lists Mark Kaszirer, Coo, as its authorized official.

NPPES Registry Identity

NPI1881359248
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameAVENTURA BAY PLACE LLC
Location Address10401 ROOSEVELT BLVD NSt Petersburg, FL 33716-3836
Mailing Address1105 E County Line Rd Ste 206Lakewood, NJ 08701-2122 · (610) 686-3300
Organization SubpartNo
Authorized OfficialMark KaszirerCoo · (610) 686-3300
Enumeration DateNovember 1, 2021
NPPES CertifiedNovember 1, 2021
NPI 1881359248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
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.
10401 ROOSEVELT BLVD N, St Petersburg, FL 33716

Other Names 1

Doing Business AsAventura Bay Place

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0984732

Aventura Bay Place LLC · Saint Petersburg, FL
Active · expires Mar 28, 2027
CLIA Number10D0984732
Laboratory TypeAssisted Living Facility
Certificate Effective DateMarch 29, 2025
Certificate Expiration DateMarch 28, 2027
Laboratory DirectorJon Bradford
Laboratory Phone(727) 563-9733
Laboratory LocationAventura Bay Place LLC10401 Roosevelt Blvd N, Saint Petersburg, FL 33716
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Assisted Living Facility
10401 ROOSEVELT BLVD N
ST PETERSBURG, FL 33716

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 Aventura Bay Place LLC's NPI number?

The NPI number for Aventura Bay Place LLC is 1881359248. It was assigned to this organization in the NPPES registry on November 1, 2021. The provider is doing business as Aventura Bay Place.

Where is Aventura Bay Place LLC located?

Aventura Bay Place LLC is located at 10401 Roosevelt Blvd N, St Petersburg, FL 33716. The listed phone number is (727) 563-9733.

What is Aventura Bay Place LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Aventura Bay Place LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0984732) is associated with this NPI, valid through March 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Aventura Bay Place LLC was last updated on November 1, 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.