St Hubert Agelet

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

ST HUBERT AGELET

Practice address

764 Aqua Surf CT
Jacksonville, FL 32225-0802

Phone

(904) 554-6051

NPI assigned

Feb 7, 2022

Last updated

Feb 7, 2022By 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

Agelet St HubertNPI 1942857230

Title

Owner

Phone

(904) 554-6051

Specialties & licenses 1

Addresses

Other names 1

• Adult Family Care Home Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Agelet St.Hubert, AFCH PROVIDER

  • Adult Care Home Facility
  • Jacksonville, FL
  • NPI 1942857230
  NPD Authorized official

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

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644192000000",
    "number": "1780338954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "764 AQUA SURF CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322250802",
            "telephone_number": "904-554-6051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "764 AQUA SURF CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322250802",
            "telephone_number": "904-554-6051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST HUBERT AGELET",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-07",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-04",
        "status": "A",
        "authorized_official_last_name": "ST HUBERT",
        "authorized_official_first_name": "AGELET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-554-6051"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adult Family Care Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Nancy Anne St Claire, LMHC, LPC
• Emmanuela St Fleur, RN
• James K St George, MD
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• St Luke's Emergency Care Group LLC

• Adult Care Home Facility in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Adult Care Home Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.