Provider Demographics
NPI:1093339244
Name:BEST CARE SENIOR LIVING AT ST PETE LLC
Entity Type:Organization
Organization Name:BEST CARE SENIOR LIVING AT ST PETE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KHALID
Authorized Official - Middle Name:
Authorized Official - Last Name:SAKR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-439-5363
Mailing Address - Street 1:10730 N 56TH ST STE 209
Mailing Address - Street 2:
Mailing Address - City:TEMPLE TERRACE
Mailing Address - State:FL
Mailing Address - Zip Code:33617-3611
Mailing Address - Country:US
Mailing Address - Phone:813-733-0909
Mailing Address - Fax:
Practice Address - Street 1:1001 9TH ST N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701-1514
Practice Address - Country:US
Practice Address - Phone:813-733-0909
Practice Address - Fax:813-733-0910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-03
Last Update Date:2020-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility