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

St Petersburg Nursing Home, LLC

Organization Skilled Nursing Facility · NPI 1366433385

St Petersburg Nursing Home, LLC is a Skilled Nursing Facility in Kenneth City, Florida. Licensed in Florida. Registered with an NPI since 2005.

Licensed in
FL
In the registry since
2005
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4250 66th St N
Kenneth City, FL 33709-4918
Phone: (727) 546-2405
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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 · Licence SNF1252096 (FL)

Record details

NPI number1366433385
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michelle Burdette — Director Of Finance · (423) 308-1845
Other names Jacaranda Manor
NPI enumeratedOctober 31, 2005
Last updated in NPPESAugust 22, 2020
Mailing address4250 66th St N, Kenneth City, FL 33709-4918

Other providers in Kenneth City