Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blue Ridge by the Lake LLC

Organization Skilled Nursing Facility · NPI 1154787141

Blue Ridge by the Lake LLC is a Skilled Nursing Facility in St Petersburg, Florida. Medicare rates this nursing home 1 out of 5. Registered with an NPI since 2016.

CMS rating
1 of 5
In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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CMS quality rating

1 out of 5 — official nursing home rating from CMS Care Compare (CCN 105292)
Health inspection1.0 / 5
Staffing3.0 / 5
Quality measures1.0 / 5
OwnershipFor profit - Limited Liability company

Practice location Address checks out

1100 66th St N
St Petersburg, FL 33710-6224
Phone: (727) 345-9331
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X

Record details

NPI number1154787141
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Levi Rudd — Ceo · (786) 358-5200
NPI enumeratedJanuary 7, 2016
Last updated in NPPESJanuary 7, 2016
Mailing address2700 N 29th Ave, Suite 308, Hollywood, FL 33020-1520

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