Provider Demographics
NPI:1821230970
Name:LONG TERM CARE ASSESSMENTS LLC
Entity Type:Organization
Organization Name:LONG TERM CARE ASSESSMENTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:ROONEY
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:727-725-4940
Mailing Address - Street 1:2519 N MCMULLEN BOOTH RD STE 510-208
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33761-4173
Mailing Address - Country:US
Mailing Address - Phone:727-725-4940
Mailing Address - Fax:727-725-5678
Practice Address - Street 1:1701 TALL PINE CIR
Practice Address - Street 2:
Practice Address - City:SAFETY HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34695-5204
Practice Address - Country:US
Practice Address - Phone:727-725-4940
Practice Address - Fax:727-725-5678
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-02
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
363LA2200X
FLARNP2949142363LP0808X
FLARNP1918522363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Multi-Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL104065300Medicaid
FLS67581Medicare UPIN