National Provider Identifier Database

ALCOVE RETIREMENT CENTER III
Assisted Living, Mental Illness

A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.


Contact Information

ALCOVE RETIREMENT CENTER III
2801 4TH ST N
SAINT PETERSBURG, FL33704
Phone: 727-898-0560
Fax: 727-895-1155
Website:
Specialty Taxonomy Code
* Assisted Living, Mental Illness 3104A0625X

* Indicates primary specialty

NPI Profile & details for ALCOVE RETIREMENT CENTER III

NPI Number 1386944064
Legal business name
LBN
ALCOVE RETIREMENT CENTER III
Authorized official NELLY MCNULTY - (OWNER/ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 10/27/2010
Last updated 09/26/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: AL6511
  • FL Medicaid: 140082700
  • FL Medicaid: 685933000

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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