Friends and Adult Family Care Home

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

6906276 Issued in FL

Legal business name

FRIENDS AND ADULT FAMILY CARE HOME

Practice address

764 Aqua Surf CT
Jacksonville, FL 32225-0802

Phone

(904) 554-6051

Fax

(904) 361-3235

NPI assigned

Nov 10, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Agelet St-Hubert

Title

Owner/Provider

Phone

(904) 554-6051

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1226275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333411200000",
    "number": "1194979773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "764 AQUA SURF CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322250802",
            "telephone_number": "904-554-6051",
            "fax_number": "904-361-3235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "764 AQUA SURF CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322250802",
            "telephone_number": "904-554-6051",
            "fax_number": "904-361-3235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDS AND ADULT FAMILY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-10",
        "last_updated": "2012-04-03",
        "status": "A",
        "authorized_official_last_name": "ST-HUBERT",
        "authorized_official_first_name": "AGELET",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "904-554-6051",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "6906276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Friedman & Greenhut, DPM, PA
• Brittany Rhea Friedman, MS, CCC-SLP
• Christen Taylor Friedman
• Kelsey Barton Friedman, APRN
• Lee Friedman, M.D.
• Allison M Fries, PA
• Joyce A Frink, CRNA
• Alexa Jane Frisbey
• Fallon Frische
• Lisa M Frison, D.O.

• All providers in Jacksonville, FL
• Adult Care Home Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; 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.