AUDRAH HYATT
NPI 1194484295
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Orange Park, FL

Q: What is Audrah Hyatt's NPI number?

The NPI number for Audrah Hyatt is 1194484295. It was assigned to this individual provider in the NPPES registry on December 16, 2021.

Q: What is Audrah Hyatt's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Q: When was this NPI record last updated?

The NPPES record for Audrah Hyatt was last updated on December 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 16, 2021

767 BLANDING BLVD STE 110B, ORANGE PARK, FL 32065(803) 318-2052(904) 203-7302 Get Directions Write a Review

NPPES record last updated: December 16, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Audrah Hyatt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AUDRAH HYATT (NPI 1194484295) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Orange Park, Florida and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1194484295

Entity TypeIndividualFemale

Primary Taxonomy320900000X

Provider Legal NameAUDRAH HYATT

Location Address767 BLANDING BLVD STE 110BOrange Park, FL 32065-5788

Mailing Address767 Blanding Blvd Ste 110bOrange Park, FL 32065-5788 · (803) 318-2052 · Fax (904) 203-7302

Phone(803) 318-2052

Fax(904) 203-7302

Sole ProprietorYes

Enumeration DateDecember 16, 2021

NPPES CertifiedDecember 16, 2021

✔ NPI 1194484295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320900000X

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

767 BLANDING BLVD STE 110B, Orange Park, FL 32065

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EDUCATION TRANSFORMATION ENTERPRISES INC

Local Education Agency (LEA)

767 BLANDING BLVD STE 110B
ORANGE PARK, FL 32065

Clay County (904) 539-8300

ELIZABETH KENNEDY

Case Manager/Care Coordinator

767 BLANDING BLVD STE 110B
ORANGE PARK, FL 32065

Clay County (803) 318-2052

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Audrah Hyatt's NPI number?

The NPI number for Audrah Hyatt is 1194484295. It was assigned to this individual provider in the NPPES registry on December 16, 2021.

Where is Audrah Hyatt located?

Audrah Hyatt practices at 767 Blanding Blvd Ste 110B, Orange Park, FL 32065. The listed phone number is (803) 318-2052.

What is Audrah Hyatt's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Audrah Hyatt was last updated on December 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.