Organization
JOHN KNOX VILLAGE OF TAMPA BAY INC
Active
Parent organization
ST. JOSEPH'S HEALTH CARE CENTER
Other names
St. Joseph's John Knox Village
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. JOSEPH'S HEALTH CARE CENTER
Authorized official
MS. LISA VICARIO LYONS NHA, CPA (EXECUTIVE DIRECTOR)
(813) 632-2391
Entity
Organization
Contact information
Practice address
4100 E. FLETCHER AVE, TAMPA, FL 33613-4863
(813) 632-2455
(813) 632-2388
Mailing address
4100 E. FLETCHER AVE, TAMPA, FL 33613-4863
(813) 632-2455
(813) 632-2388
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL4110
FL
314000000X
Skilled Nursing Facility
SNF1260095
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021028500
—
FL
01
—
K68
BLUECROSS BLUESHIELD
FL
Enumeration date
10/03/2005
Last updated
11/07/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us