Healthcare Provider Details

I. General information

NPI: 1821230970
Provider Name (Legal Business Name): LONG TERM CARE ASSESSMENTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2009
Last Update Date: 01/03/2022
Certification Date: 01/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 TALL PINE CIR
SAFETY HARBOR FL
34695-5204
US

IV. Provider business mailing address

2519 N MCMULLEN BOOTH RD STE 510-208
CLEARWATER FL
33761-4173
US

V. Phone/Fax

Practice location:
  • Phone: 727-725-4940
  • Fax: 727-725-5678
Mailing address:
  • Phone: 727-725-4940
  • Fax: 727-725-5678

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberARNP1918522
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberARNP2949142
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MR. JAMES JOSEPH ROONEY
Title or Position: PRESIDENT
Credential: ARNP
Phone: 727-725-4940