Organization Active NPI

Logue Homecare LLC

  • In Home Supportive Care Agency
  • St Augustine, FL
National Provider Identifier
1144619339
Registry record updated Jan 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LOGUE HOMECARE LLC
Practice address
530 Market St
St Augustine, FL 32095-6826
Phone
(617) 429-3085
NPI assigned
Jan 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Jennifer M. Logue
Title
Owner
Phone
(617) 429-3080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

530 Market St
St Augustine, FL 32095-6826

Mailing address

530 Market St
St Augustine, FL 32095-6826
Phone (617) 429-3085

Other names 1

  • FirstLight HomeCare of the First Coast Doing business as

National Provider Directory

National Provider Directory

Locations

530 Market St
St Augustine, FL 32095
Phone (617) 429-3085

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1421020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421020800000",
    "number": "1144619339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 MARKET ST",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320956826",
            "telephone_number": "617-429-3085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 MARKET ST",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320956826",
            "telephone_number": "617-429-3085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOGUE HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-12",
        "last_updated": "2015-01-12",
        "status": "A",
        "authorized_official_last_name": "LOGUE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-429-3080",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FirstLight HomeCare of the First Coast",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.