St. Augustine Transitional Home

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ST. AUGUSTINE TRANSITIONAL HOME

Practice address

7004 Security Blvd Ste 300
Windsor Mill, MD 21244-2534

Phone

(410) 725-2324

NPI assigned

Nov 1, 2024

Organization subpart

No

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

Authorized official

Name

Augustine Jacobson

Title

C.E.O

Phone

(410) 725-2324

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1730419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730419200000",
    "number": "1902629694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7004 SECURITY BLVD STE 300",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212442534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7004 SECURITY BLVD STE 300",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212442534",
            "telephone_number": "410-725-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. AUGUSTINE TRANSITIONAL HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-01",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "AUGUSTINE",
        "authorized_official_title_or_position": "C.E.O",
        "authorized_official_telephone_number": "410-725-2324"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Specialist Family Medicine
• Carliqua Spencer, PMHNP-BC
• St. Augustine Health System Inc
• St. Augustine Health System Inc
• St. Augustine Nursing Services LLC
• David Ridgway Stamp, PT, DPT, ATC
• Stillwaters Consulting
• Jennifer Leo Stine, LCPC
• Victoria Stokes
• Christian Khalia Suggs

• Community/Behavioral Health Agency in Windsor Mill, MD
• Providers in Windsor Mill, MD by specialty
• Community/Behavioral Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; 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.