MENORAH MANOR – Skilled Nursing Facility, NPI 1548217060

MENORAH MANOR is a healthcare provider. based in St petersburg, Florida. specializing in Skilled Nursing Facility. The organization holds a License No. 4037350001 (FL). The NPI Number for MENORAH MANOR is 1548217060

Main info

Organization
Name
MENORAH MANOR
NPI
1548217060
Phone
(727) 345-2775
Address
255 59TH ST N
Authorized Official
MRS. DONNA PERRYMAN CHIEF FINANCIAL OFFICER CPA
Enumeration Date
29 May 2006
Last Update Date
27 June 2018
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness80
Years active:20State licenses:2Digital endpointsUpdated within 12 months

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Provider Addresses for MENORAH MANOR

  • 59th Street North, Pasadena Bear Creek Estates, Saint Petersburg, Pinellas County, Florida, 33710, United States

    ST PETERSBURG, FL 337108539

    Phone: (727) 345-2775

    Fax: (727) 344-8593

    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.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-05-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20080522000408OSkilled Nursing FacilityFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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 33710)

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Reviews

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Frequently asked questions

What is the standard ID for MENORAH MANOR in the U.S.?
In the U.S., MENORAH MANOR is identified by NPI 1548217060.
Quick check: is MENORAH MANOR active?
Public NPPES data shows MENORAH MANOR with an active NPI status right now.
What services align with MENORAH MANOR's listing?
MENORAH MANOR's public classification highlights Skilled Nursing Facility. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MENORAH MANOR?
MENORAH MANOR is associated with St Petersburg, Florida in the same public data insurers reference.
Why is information missing for MENORAH MANOR?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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