LIFE CARE SAINT JOHNS (NPI# 1891931614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891931614 |
Entity Type | Organization |
Organization Name | LIFE CARE SAINT JOHNS |
Other Organization Name | GLENMOOR |
Practice Address |
230 Towerview Dr Saint Augustine FL 32092-2789 |
Mailing Address |
235 Towerview Dr Saint Augustine FL 32092-2790 |
Practice Telephone | 9042017055 |
Practice Fax Number | 9042017040 |
Mailing Telephone | 9049404800 |
Mailing Fax Number | 9049404820 |
Enumeration Date | 2008-12-29 |
Last Update Date | 2008-12-29 |
Authorized Official Name | KRISTI QUICK (CHIEF FINANCIAL OFFICER) |
Authorized Official Telephone | 9042731701 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Glenmoor | Doing Business As Name - Organization |
Street Address |
230 TOWERVIEW DR |
City | SAINT AUGUSTINE |
State | FL |
Zip Code | 32092-2789 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124670146 | Kaitlyn Thomas | Speech-Language Pathologist | 111 Nature Walk Pkwy # B101, Saint Augustine, FL 32092 | 2019-07-10 |
1386168359 | Westminster Pines, Inc. | Skilled Nursing Facility | 235 Towerview Drive, St. Augustine, FL 32092 | 2017-08-01 |
1255852471 | St Vincent's Urgent Care Inc | Clinic/Center | 2001 Country Road 210 West, St Augustine, FL 32092 | 2017-06-28 |
1649702291 | Leonard Volpe | Physician Assistant | 745 Porta Rosa Cir, St Augustine, FL 32092 | 2017-04-03 |
1740630425 | Sierra Danielle Shultz | Behavioral Analyst | 2590 C H Arnold Rd, Saint Augustine, FL 32092 | 2016-06-14 |
1023467347 | Marylin Palackel James | Family Medicine | 110 Hampton Point Dr, St Augustine, FL 32092 | 2016-06-07 |
1790146462 | Florida Autism Center | Community/Behavioral Health | 124 Capulet Drive, St Augustine, FL 32092 | 2016-03-09 |
1174901458 | Kaylan Brady | Pediatrics | 70 Turin Terrace, Suite 220, St Augustine, FL 32092 | 2015-05-07 |
1245620368 | Angela Sanchez | Physician Assistant | 229 Adelanto Ave, St Augustine, FL 32092 | 2015-01-27 |
1053723700 | David Hamilton | Dentist | 149 Tuscan Way, St. Augustine, FL 32092 | 2014-05-29 |
Find all providers in zip 32092 |
Taxonomy Code | 261QR0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508466707 | A1a Physical Therapy, LLC | Clinic/Center | 8 Ocean Trace Rd, Saint Augustine, FL 32080-6972 | 2020-10-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598365496 | Cora Health Services, Inc. | Clinic/Center | 794 Blanding Blvd, Orange Park, FL 32065-5721 | 2020-10-29 |
1891394078 | Rehabclinics Pta, Inc. | Clinic/Center | 12543 Miramar Pkwy, Miramar, FL 33027-2909 | 2020-10-20 |
1952918369 | Bayit Therapy LLC | Clinic/Center | 4699 N Federal Hwy Ste 101g, Pompano Beach, FL 33064-6510 | 2020-09-29 |
1205440815 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 3511 Vanderbilt Beach Rd, Naples, FL 34109-1342 | 2020-09-01 |
1275147043 | Sensei Medical Center Inc | Clinic/Center | 6500 W 4th Ave Ste 31, Hialeah, FL 33012-6606 | 2020-08-31 |
1649894361 | Yemaya Medical Center LLC | Clinic/Center | 2141 Sw 1st St Ste 206a, Miami, FL 33135-5603 | 2020-05-29 |
1336769801 | H2 Rehabilitation Services of Florida LLC | Clinic/Center | 484 Riverside Ave, Jacksonville, FL 32202-4912 | 2020-04-24 |
1649806787 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 111 N County Highway 393 Ste 201, Santa Rosa Beach, FL 32459-5366 | 2020-03-20 |
1366078032 | Cora Health Services, Inc. | Clinic/Center | 11420 Us Hwy 301 S, Riverview, FL 33578 | 2020-03-13 |
1922634708 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 921 Town Center Dr Ste 700, Orange City, FL 32763-8267 | 2020-03-12 |
Find all providers with the same taxonomy |
City | SAINT AUGUSTINE |
Zip Code | 32092 |
Please comment or provide details below to improve the information on LIFE CARE SAINT JOHNS.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.