Imagine School Town Center, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

IMAGINE SCHOOL TOWN CENTER, LLC

Practice address

775 Town Center Blvd
Palm Coast, FL 32164-2520

Phone

(386) 586-0100

Fax

(386) 586-2784

NPI assigned

Aug 18, 2025

Organization subpart

No

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

Authorized official

Name

Lilly Ann Mena

Title

School Nurse

Phone

(386) 586-0100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1755475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755820800000",
    "number": "1194602755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 TOWN CENTER BLVD",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321642520",
            "telephone_number": "386-586-0100",
            "fax_number": "386-586-2784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 TOWN CENTER BLVD",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321642520",
            "telephone_number": "386-586-0100",
            "fax_number": "386-586-2784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGINE SCHOOL TOWN CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-18",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A",
        "authorized_official_last_name": "MENA",
        "authorized_official_first_name": "LILLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "SCHOOL NURSE",
        "authorized_official_telephone_number": "386-586-0100"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Lynn Husen, APRN
• Samantha Marie Iasimone
• Khaled Ibrahim, M.D.
• Chiamaka Iheme, M.D.
• Rosanne Ilardo, RN, IBCLC
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• Clinic/Center in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; 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.