Life Care Saint Johns

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

LIFE CARE SAINT JOHNS

Doing business as

Glenmoor

Practice address

230 Towerview Dr
Saint Augustine, FL 32092-2789

Phone

(904) 201-7055

Fax

(904) 201-7040

NPI assigned

Dec 29, 2008

Last updated

Dec 29, 2008By 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

Kristi Quick

Title

Chief Financial Officer

Phone

(904) 273-1701

Specialties & licenses 1

Addresses

Other names 1

• Glenmoor Doing business as

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

{
    "created_epoch": "1230508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230508800000",
    "number": "1891931614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 TOWERVIEW DR",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320922790",
            "telephone_number": "904-940-4800",
            "fax_number": "904-940-4820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 TOWERVIEW DR",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320922789",
            "telephone_number": "904-201-7055",
            "fax_number": "904-201-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CARE SAINT JOHNS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-29",
        "last_updated": "2008-12-29",
        "status": "A",
        "authorized_official_last_name": "QUICK",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "904-273-1701"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glenmoor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chung-Li Jason Li, PH.D.
• Lin Li, MD
• Melissa Lichty, APRN
• April Heather Liddle, LCSW
• Life Arts Counseling, LLC
• Life Care St Johns Inc (Glenmoor)
• Lifesounds Hearing AIDS
• Lift Physical Therapy LLC
• Lighthouse Anesthesiology
• Lighthouse Dental Studio PLLC

• Rehabilitation Clinic/Center in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2008; 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.