Organization Active NPI

Hogans Harvest Inc

  • Home Health Agency
  • St Augustine, FL
National Provider Identifier
1528384989
Registry record updated Apr 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
692535996 Issued in FL
Legal business name
HOGANS HARVEST INC
Practice address
4752 Avenue D
St Augustine, FL 32095-5228
Phone
(904) 377-6845
Fax
(904) 429-7526
NPI assigned
Apr 9, 2010
Last updated
Apr 24, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2012

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

Authorized official

Name
Dr. Cheryl Delores Hogan
Title
Ceo/Director
Phone
(904) 377-6845

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 692535996 FL Primary

Addresses

Primary practice location

4752 Avenue D
St Augustine, FL 32095-5228

Mailing address

99 King St
St Augustine, FL 32084-4343
Phone (904) 377-6845

Other identifiers 1

IdentifierTypeStateIssuer
692535996MedicaidFL

National Provider Directory

National Provider Directory

Locations

99 King St
St Augustine, FL 32084

NPI Registry JSON

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

{
    "created_epoch": "1270771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335225600000",
    "number": "1528384989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 KING ST",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320844343",
            "telephone_number": "904-377-6845",
            "fax_number": "904-429-7526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4752 AVENUE D",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320955228",
            "telephone_number": "904-377-6845",
            "fax_number": "904-429-7526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOGANS HARVEST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-09",
        "last_updated": "2012-04-24",
        "status": "A",
        "authorized_official_last_name": "HOGAN",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "DELORES",
        "authorized_official_title_or_position": "CEO/DIRECTOR",
        "authorized_official_telephone_number": "904-377-6845",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "692535996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "692535996",
            "state": "FL"
        }
    ],
    "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 Apr 24, 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.