1093339244 NPI number — BEST CARE SENIOR LIVING AT ST PETE LLC

Table of content: DR. THERESA BETH JAGASIA AU.D. (NPI 1952434243)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1093339244 NPI number — BEST CARE SENIOR LIVING AT ST PETE LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BEST CARE SENIOR LIVING AT ST PETE LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1093339244
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/03/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10730 N 56TH ST STE 209
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TEMPLE TERRACE
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33617-3611
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
813-733-0909
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1001 9TH ST N
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ST PETERSBURG
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33701-1514
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
813-733-0909
Provider Business Practice Location Address Fax Number:
813-733-0910
Provider Enumeration Date:
06/03/2020

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
SAKR
Authorized Official First Name:
KHALID
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
727-439-5363

Provider Taxonomy Codes

  • Taxonomy code: 310400000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)