Organization Active NPI

All City Family Health Corp

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • St Augustine, FL
National Provider Identifier
1356467773
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
ALL CITY FAMILY HEALTH CORP
Practice address
419 Anastasia Blvd
Saint Augustine, FL 32080-4508
Phone
(386) 586-1229
NPI assigned
Mar 21, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Oleg Cheberko
Title
Owner
Phone
(386) 586-1229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X Primary

Addresses

Primary practice location

419 Anastasia Blvd
Saint Augustine, FL 32080-4508

Mailing address

4721 E Moody Blvd
BLDG 1 Suite 103
Bunnell, FL 32110-7705
Phone (386) 586-1229

National Provider Directory

National Provider Directory
Tax ID family
All City Family Health 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.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356467773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4721 E MOODY BLVD",
            "address_2": "BLDG 1 SUITE 103",
            "city": "BUNNELL",
            "state": "FL",
            "postal_code": "321107705",
            "telephone_number": "386-586-1229",
            "fax_number": "386-586-2887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 ANASTASIA BLVD",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320804508",
            "telephone_number": "386-586-1229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL CITY FAMILY HEALTH CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHEBERKO",
        "authorized_official_first_name": "OLEG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-586-1229"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.