1. Home
  2. Directory
  3. Florida
  4. Palm Coast
  5. Clinic Center
  6. NPI Profile

IMAGINE SCHOOL TOWN CENTER, LLC
NPI 1194602755
Clinic/Center in Palm Coast, FL

Active since August 18, 2025
775 TOWN CENTER BLVD, PALM COAST, FL 32164(386) 586-0100(386) 586-2784 Get Directions Write a Review

NPPES record last updated: August 22, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Frequently Asked Questions
  • Organization
  • Clinic/Center

About IMAGINE SCHOOL TOWN CENTER, LLC

This page provides the complete NPI Profile along with additional information for Imagine School Town Center, Llc, a provider established in Palm Coast, Florida operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1194602755 assigned on August 2025. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Lilly Ann Mena (School Nurse)

NPI
1194602755 Verify this NPI
Provider Name
IMAGINE SCHOOL TOWN CENTER, LLC
Entity Type
Organization
Location Address
775 TOWN CENTER BLVD PALM COAST, FL 32164
Location Phone
(386) 586-0100
Location Fax
(386) 586-2784
Mailing Address
775 TOWN CENTER BLVD PALM COAST, FL 32164
Mailing Phone
(386) 586-0100
Mailing Fax
(386) 586-2784
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-18-2025
Last Update Date
08-22-2025
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LILLY ANN MENA

Authorized Official Title
SCHOOL NURSE
Authorized Official Phone
(386) 586-0100

Reviews for IMAGINE SCHOOL TOWN CENTER, LLC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Frequently Asked Questions

What is IMAGINE SCHOOL TOWN CENTER, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1194602755, enumerated as an "organization" on August 18, 2025.

Where is the provider located?

The provider is located at 775 TOWN CENTER BLVD PALM COAST, FL 32164 and the phone number is (386) 586-0100.

What is the provider's specialty?

Clinic/Center with taxonomy code 261Q00000X.