NPIMap

Organization Active NPI

Youthtrack, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • St Augustine, FL
National Provider Identifier
1376715193
Registry record updated Sep 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
YOUTHTRACK, INC.
Practice address
2692 US Highway 1 S
S Gerona Building
St Augustine, FL 32086-4903
Phone
(904) 794-7033
NPI assigned
Apr 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2008

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

Authorized official

Name
Deena Ombres
Title
Privacy Officer
Phone
(502) 394-2387

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X FL Primary

Addresses

Primary practice location

2692 US Highway 1 S
S Gerona Building
St Augustine, FL 32086-4903

Mailing address

9901 Linn Station Rd
Louisville, KY 40223-3808
Phone (800) 866-0860

National Provider Directory

National Provider Directory
Tax ID family
Youthtrack Inc14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

Locations

2692 US Highway 1 S
Saint Augustine, FL 32086
Phone (904) 794-7033

NPI Registry JSON

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220400000000",
    "number": "1376715193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9901 LINN STATION RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402233808",
            "telephone_number": "800-866-0860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2692 US HIGHWAY 1 S",
            "address_2": "S GERONA BUILDING",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320864903",
            "telephone_number": "904-794-7033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTHTRACK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-09-03",
        "status": "A",
        "authorized_official_last_name": "OMBRES",
        "authorized_official_first_name": "DEENA",
        "authorized_official_title_or_position": "PRIVACY OFFICER",
        "authorized_official_telephone_number": "502-394-2387"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "FL",
            "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 Sep 3, 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.