NPI
St Petersburg Nursing Home, LLC
Doing business as Jacaranda Manor. Phone (727) 546-2405 · NPI 1366433385
Read from the NPPES registry on October 25, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2005-10-31
- Last updated
- 2020-08-22
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Specialties
Licenses
- License FL
- SNF1252096
Location
- Practice location
- 4250 66th St N
- City
- Kenneth City FL
- Postal code
- 33709-4918
- Phone
- (727) 546-2405
Organization contact
- Name
- Michelle Burdette
- Title
- Director of Finance
- Phone
- (423) 308-1845
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Skilled Nursing Facility providers in Kenneth City, FL. 6 with this primary taxonomy in the public file.
Other NPIs in Kenneth City, FL. 97 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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