NPIMap

Organization Active NPI

St Johns County Welfare Federation

  • Assisted Living Facility
  • St Augustine, FL
National Provider Identifier
1598810616
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
9867 Issued in FL
Legal business name
ST JOHNS COUNTY WELFARE FEDERATION
Doing business as
Buckingham Smith Assisted Living Facility
Practice address
169 M L King Ave
St Augustine, FL 32084-5139
Phone
(904) 829-9315
NPI assigned
Jan 25, 2007
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
Mary Canestorp, ADMIN
Title
Aministrator
Phone
(904) 829-9315

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 9867 FL Primary

Addresses

Primary practice location

169 M L King Ave
St Augustine, FL 32084-5139

Mailing address

169 M L King Ave
St Augustine, FL 32084-5139
Phone (904) 829-9315

Other names 1

  • Buckingham Smith Assisted Living Facility Doing business as

National Provider Directory

National Provider Directory
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.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598810616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 M L KING AVE",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320845139",
            "telephone_number": "904-829-9315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 M L KING AVE",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320845139",
            "telephone_number": "904-829-9315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOHNS COUNTY WELFARE FEDERATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CANESTORP",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "AMINISTRATOR",
        "authorized_official_telephone_number": "904-829-9315",
        "authorized_official_credential": "ADMIN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "9867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buckingham Smith Assisted Living Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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.