St Johns Co Council on Aging

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

9004 Issued in FL

Legal business name

ST JOHNS CO COUNCIL ON AGING

Practice address

180 Marine St
St Augustine, FL 32084-5153

Phone

(904) 209-3700

Fax

(904) 209-3663

NPI assigned

Dec 19, 2007

Organization subpart

No

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

Authorized official

Name

Becky Yanni

Title

Executive Director

Phone

(904) 209-3685

Specialties & licenses 6

Addresses

Other identifiers 5

Tax ID family

St Johns Co Council on Aging2 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 Council on Aging Inc.

  • Adult Day Care Clinic/Center
  • St Augustine, FL
  • NPI 1629469762
  NPD tax ID

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690934400000",
    "number": "1598949018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 MARINE ST",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320845153",
            "telephone_number": "904-209-3700",
            "fax_number": "904-209-3663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 MARINE ST",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320845153",
            "telephone_number": "904-209-3700",
            "fax_number": "904-209-3663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOHNS CO COUNCIL ON AGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A",
        "authorized_official_last_name": "YANNI",
        "authorized_official_first_name": "BECKY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "904-209-3685"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "5857",
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "FL",
            "license": "9004",
            "primary": true
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "099507000",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024894101",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "099507001",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113734100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "689228100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• St Augustine Senior Living LLC
• St Augustine Specialty Healthcare, Inc.
• St Augustine Youth Services
• St Johns Biomedical Laboratories Inc
• St Johns Cardiovascular PA
• St Johns County Board of County Commissioners
• St Johns County Board of County Commissioners
• St Johns County Board of County Commissioners
• St Johns County Board of County Commissioners
• St Johns County Welfare Federation

• Adult Day Care Clinic/Center in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Adult Day Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.