OrganizationActive
Aaron J Smith & Sophia Kibuismith
NPI 1992577175 · Adult Care Home Facility · St Petersburg, FL
Provider details
- NPI number
- 1992577175
- Entity type
- Organization
- Primary specialty
- Adult Care Home FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Aaron Smith, Manager(650) 440-0022
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
4811 5th Ave S
St Petersburg, FL 33711-1421
Phone: (650) 440-0022
Approximate (ZIP-level) locationGet directions
Mailing address
4811 5th Ave S
St Petersburg, FL 33711-1421
Registry dates
- Enumerated
- 2023-10-23
- Last updated
- 2023-10-23
- Certified
- 2023-10-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.