Organization Active NPI

Fifty Seven Consulting LLC

  • In Home Supportive Care Agency
  • St Augustine, FL
National Provider Identifier
1801689252
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
FIFTY SEVEN CONSULTING LLC
Practice address
350 Paseo Reyes Dr FL 32095
St Augustine, FL 32095-8464
Phone
(904) 352-2944
NPI assigned
May 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Authorized official

Name
Alan Henderson
Title
Owner
Phone
(617) 347-9480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

350 Paseo Reyes Dr FL 32095
St Augustine, FL 32095-8464

Mailing address

350 Paseo Reyes Dr FL 32095
St Augustine, FL 32095-8464
Phone (904) 352-2944

Other names 1

  • Amada Senior Care St Augustine FL Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1748390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748390400000",
    "number": "1801689252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 PASEO REYES DR FL 32095",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320958464",
            "telephone_number": "904-352-2944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 PASEO REYES DR FL 32095",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320958464",
            "telephone_number": "904-352-2944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIFTY SEVEN CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-28",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-347-9480"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amada Senior Care St Augustine FL",
            "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 May 28, 2025; 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.