St Augustine FL Opco LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ST AUGUSTINE FL OPCO LLC

Doing business as

The Lilac at Bayview

Practice address

161 Marine St
St Augustine, FL 32084-5154

Phone

(904) 829-3475

NPI assigned

Feb 8, 2022

Organization subpart

No

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

Authorized official

Name

Batya Gorelick

Title

Coo

Phone

(904) 829-3475

Specialties & licenses 3

Addresses

Other names 1

• The Lilac at Bayview Doing business as

Tax ID family

St Augustine FL Opco LLC2 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 Augustine FL Opco LLC

  • Skilled Nursing Facility
  • Saint Augustine, FL
  • NPI 1417611369
  NPD tax ID

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

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644278400000",
    "number": "1528712643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 SYLVAN AVE",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076323301",
            "telephone_number": "201-928-7816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 MARINE ST",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320845154",
            "telephone_number": "904-829-3475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST AUGUSTINE FL OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-08",
        "last_updated": "2022-02-08",
        "certification_date": "2022-01-27",
        "status": "A",
        "authorized_official_last_name": "GORELICK",
        "authorized_official_first_name": "BATYA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "904-829-3475"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Lilac at Bayview",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• St Augustine Anesthesia Partners
• St Augustine Cardiology Associates PA
• St Augustine Cardiology LLC
• St Augustine Endoscopy Center LLC
• St Augustine FL Opco LLC
• St Augustine Medical Equipment LLC
• St Augustine Neurology PA
• St Augustine Oral & Facial Surgical Center PA
• St Augustine Physical Medicine
• St Augustine Physicians Associates Inc

• 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 Feb 8, 2022; 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.