NPIMap

Organization Active NPI

Life Care Ponte Vedra

  • Rehabilitation Clinic/Center
  • Ponte Vedra Beach, FL
National Provider Identifier
1265678080
Registry record updated Dec 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
LIFE CARE PONTE VEDRA
Practice address
1003 York Rd
Ponte Vedra Beach, FL 32082-3116
Phone
(904) 273-1718
Fax
(904) 273-9573
NPI assigned
Dec 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2008

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

Authorized official

Name
Ms. Kristi Quick
Title
Chief Financial Officer
Phone
(904) 273-1701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

1003 York Rd
Ponte Vedra Beach, FL 32082-3116

Mailing address

1000 Vicars Landing Way
Ponte Vedra Beach, FL 32082-3151
Phone (904) 273-1701

Other names 1

  • Vicar's Landing Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Life Care Ponte Vedra2 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.

NPI Registry JSON

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

{
    "created_epoch": "1230508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230508800000",
    "number": "1265678080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 VICARS LANDING WAY",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320823151",
            "telephone_number": "904-273-1701",
            "fax_number": "904-285-1384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 YORK RD",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320823116",
            "telephone_number": "904-273-1718",
            "fax_number": "904-273-9573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CARE PONTE VEDRA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-29",
        "last_updated": "2008-12-29",
        "status": "A",
        "authorized_official_last_name": "QUICK",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "904-273-1701",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vicar's Landing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ponte Vedra Beach, FL

Sources for this page

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