Organization Active NPI

QSH St Augustine LLC

Doing business as Palm Grove Health Center

  • Psychiatric Hospital
  • St Augustine, FL
National Provider Identifier
1811893258
Registry record updated Oct 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
QSH ST AUGUSTINE LLC
Doing business as
Palm Grove Health Center
Practice address
150 Village Crossing CT
St Augustine, FL 32084-8697
Phone
(904) 617-0500
Fax
(904) 617-0501
NPI assigned
Oct 14, 2026
Last updated
Oct 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2026

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

Authorized official

Name
Morris D Long
Title
Ceo
Phone
(574) 339-3021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X NU Primary

Addresses

Primary practice location

150 Village Crossing CT
St Augustine, FL 32084-8697

Mailing address

8465 Keystone Xing Ste 120
Indianapolis, IN 46240-4355
Phone (904) 617-0500

Other names 1

  • Palm Grove Health Center Doing business as

NPI Registry JSON

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

{
    "created_epoch": "1791936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791936000000",
    "number": "1811893258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8465 KEYSTONE XING STE 120",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462404355",
            "telephone_number": "904-617-0500",
            "fax_number": "904-617-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 VILLAGE CROSSING CT",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320848697",
            "telephone_number": "904-617-0500",
            "fax_number": "904-617-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QSH ST AUGUSTINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-14",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "MORRIS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "574-339-3021"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palm Grove Health Center",
            "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 Oct 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.