FOUR PALMS MANOR INC – Assisted Living Facility, NPI 1417167420

FOUR PALMS MANOR INC is a healthcare provider. based in St petersburg, Florida. specializing in Assisted Living Facility. The organization holds a License No. 0016 (FL). The NPI Number for FOUR PALMS MANOR INC is 1417167420

Main info

Organization
Name
FOUR PALMS MANOR INC
NPI
1417167420
Phone
(727) 742-6974
Address
302 11TH AVE NE
Authorized Official
MARLENE BERTHELOT OWNER
Enumeration Date
22 May 2007
Last Update Date
16 July 2008
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for FOUR PALMS MANOR INC

  • 302, 11th Avenue Northeast, Historic Old Northeast, Saint Petersburg, Pinellas County, Florida, 33701, United States

    ST PETERSBURG, FL 337011926

    Phone: (727) 742-6974

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33701)

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Reviews

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Frequently asked questions

How do payers reference FOUR PALMS MANOR INC?
For FOUR PALMS MANOR INC, use NPI 1417167420 as the unique 10-digit identifier.
Is there an active status for FOUR PALMS MANOR INC?
For scheduling context, FOUR PALMS MANOR INC is shown as active in the registry.
What kind of doctor is FOUR PALMS MANOR INC?
FOUR PALMS MANOR INC is associated with Assisted Living Facility in the directory — Clinical services aligned with this taxonomy classification.
Is FOUR PALMS MANOR INC associated with St Petersburg?
Public fields place FOUR PALMS MANOR INC around St Petersburg, Florida. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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