Organization Active NPI

St Johns County Welfare Federation

  • Home Health Agency
  • St Augustine, FL
National Provider Identifier
1881740546
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ST JOHNS COUNTY WELFARE FEDERATION
Practice address
169 M L King Ave
St Augustine, FL 32084-5139
Phone
(904) 824-2501
Fax
(904) 829-5507
NPI assigned
Jan 26, 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
Elizabeth Dalhgren, RN
Title
Director of Nursing,Administrator
Phone
(904) 824-2501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 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) 824-2501

Other names 1

  • Bayview Home Health Of St Augustine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

2730 US Highway 1 S
Ste N
Saint Augustine, FL 32086
Phone (904) 540-9595

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Oct 1, 2017 Change of OwnershipThis provider was the seller Flagler Home Care, LLCCCN 108211, FL, NPI 1649791823

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881740546",
    "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": "904-824-2501",
            "fax_number": "904-829-5507"
        },
        {
            "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": "904-824-2501",
            "fax_number": "904-829-5507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOHNS COUNTY WELFARE FEDERATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DALHGREN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING,ADMINISTRATOR",
        "authorized_official_telephone_number": "904-824-2501",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayview Home Health Of St Augustine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Augustine, FL

Sources for this page

Verify at the official NPI Registry.