Bimini Manor

Assisted Living Facility · Pinellas Park, FL

Organization Active NPI

NPI number 1194015636

Practice location

3791 67TH Ave N
Pinellas Park, FL 33781-6174
Phone
(727) 458-6621

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NPI record

NPI
1194015636
Entity type
Organization (Type 2)
Enumeration date
April 18, 2011
Last updated
March 17, 2014
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Assisted Living Facility Primary 310400000X AL10566 FL

Authorized official

Name
Ms. Laura Keller
Title
Owner
Phone
(727) 458-6621

About Bimini Manor

Bimini Manor is a healthcare organization registered in the NPI registry with the primary taxonomy Assisted Living Facility (code 310400000X). The practice location is 3791 67TH Ave N, Pinellas Park, FL 33781-6174. The NPI number 1194015636 was assigned on April 18, 2011 and the record was last updated on March 17, 2014.

Bimini Manor lists a license in the registry: #AL10566 (FL) for Assisted Living Facility. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Ms. Laura Keller, Owner.

Frequently asked questions

What is the NPI number of Bimini Manor?

The NPI number is 1194015636.

What is the phone number of Bimini Manor?

The phone number listed for the practice location is (727) 458-6621.

Where is Bimini Manor located?

3791 67TH Ave N, Pinellas Park, FL 33781-6174.

What is the taxonomy code for Bimini Manor?

The primary taxonomy code is 310400000X – Assisted Living Facility.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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