OrganizationActive
Bimini Manor
NPI 1194015636 · Assisted Living Facility · Pinellas Park, FL
Provider details
- NPI number
- 1194015636
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Laura Keller, Owner(727) 458-6621
- License
- AL10566 (FL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3791 67th Ave N
Pinellas Park, FL 33781-6174
Phone: (727) 458-6621
Street-level locationGet directions
Mailing address
3791 67th Ave N
Pinellas Park, FL 33781-6174
Registry dates
- Enumerated
- 2011-04-18
- Last updated
- 2014-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.