St Augustine Services Corp

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

4654 Issued in OH

Legal business name

ST AUGUSTINE SERVICES CORP

Practice address

7801 Detroit Ave
Cleveland, OH 44102-2813

Phone

(216) 939-7609

Fax

(216) 634-7423

NPI assigned

Jul 29, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Kathie A Kazdin

Title

Billing Manager

Phone

(216) 939-7609

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

St Augustine Services Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• St. Augustine Services Corp.

  • Long Term Care Pharmacy
  • Cleveland, OH
  • NPI 1235128034
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edmund A Carter, R.PH.

  • Pharmacotherapy Pharmacist
  • Akron, OH
  • NPI 1942362678
  NPD

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1154586287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 DETROIT AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441022813",
            "telephone_number": "216-939-7609",
            "fax_number": "216-634-7423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 DETROIT AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441022813",
            "telephone_number": "216-939-7609",
            "fax_number": "216-634-7423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST AUGUSTINE SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-29",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "KAZDIN",
        "authorized_official_first_name": "KATHIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "216-939-7609",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "4654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0764249",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katharine Sroka
• Susan Sroka, FNP-C
• Jakub Sroubek, MD, PHD
• St Augustine Manor
• St Augustine Manor
• St Augustine Transportation
• Priscella St Clair, RN
• Erin Lee St Denis, OTR L
• Maepearl St George, PA-C
• Kayla Breann St John, LSW, MSW

• Skilled Nursing Facility in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; 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.