St Johns Welfare Federation

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL9470 Issued in FL

Legal business name

ST JOHNS WELFARE FEDERATION

Doing business as

The Pavilion Assisted Living Facility

Practice address

161B Marine St
St Augustine, FL 32084-5104

Phone

(904) 829-3780

Fax

(904) 829-2740

NPI assigned

Nov 2, 2013

Last updated

Nov 2, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Suzanne Edwards

Title

Resident Accounts Supervisor

Phone

(904) 584-1563

Specialties & licenses 1

Addresses

Other names 1

• The Pavilion Assisted Living Facility Doing business as

Tax ID family

Buckingham Smith Assisted Living Facility2 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.

• St Johns County Welfare Federation

  dba Buckingham Smith Assisted Living Facility

  • Assisted Living Facility
  • St Augustine, FL
  • NPI 1598810616
  NPD tax ID

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

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383350400000",
    "number": "1467881292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161A MARINE ST",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320845154",
            "telephone_number": "904-829-3475",
            "fax_number": "904-808-9918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161B MARINE ST",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320845104",
            "telephone_number": "904-829-3780",
            "fax_number": "904-829-2740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOHNS WELFARE FEDERATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-02",
        "last_updated": "2013-11-02",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "RESIDENT ACCOUNTS SUPERVISOR",
        "authorized_official_telephone_number": "904-584-1563"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL9470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Pavilion Assisted Living Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• St Johns Eye Associates PA
• St Johns Eye Associates PA
• St Johns Family Chiropractic Inc
• St Johns First Assistant
• St Johns Medical LLC Dba Amazing Spine Care
• St Johns Youth Academy
• St Vincent's Urgent Care Inc
• St. Augustine Ambulatory Surgery Center, LLC
• St. Augustine Artificial Kidney Center, LTD.
• St. Augustine Direct Primary Care, LLC

• Assisted Living Facility in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2013; 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.