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ST. AUGUSTINE GROUP HOMES, INC
NPI 1629117163
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in St Augustine, FL

Active since February 05, 2007
1735 STATE ROAD 16, ST AUGUSTINE, FL 32084(904) 824-4391(904) 826-3835 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About St. Augustine Group Homes, Inc NPPES

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

ST. AUGUSTINE GROUP HOMES, INC (NPI 1629117163) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in St Augustine, Florida and active in the NPI registry since February 2007. The organization lists Shane Moran, Administrator, as its authorized official.

NPPES Registry Identity

NPI1629117163
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameST. AUGUSTINE GROUP HOMES, INC
Location Address1735 STATE ROAD 16St Augustine, FL 32084-0807
Mailing Address1735 State Road 16St Augustine, FL 32084-0807 · (904) 824-4391 · Fax (904) 826-3835
Phone(904) 824-4391
Fax(904) 826-3835
Organization SubpartNo
Authorized OfficialShane MoranAdministrator · (904) 824-4391
Enumeration DateFebruary 5, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1629117163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

1735 STATE ROAD 16, St Augustine, FL 32084
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Other Providers at the Same Location NPPES 4

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

MR. STANFORD CURTIS GARRETT LMHC
Counselor (Mental Health)
1735 STATE ROAD 16
ST AUGUSTINE, FL 32084
St. Johns County (904) 826-0424
DAISY ADAMS CENTER, INC.
Day Training, Developmentally Disabled Services
1735 STATE ROAD 16, SUITE 2
ST AUGUSTINE, FL 32084
St. Johns County (904) 826-0424
ADAMS ACRES, INC.
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1735 STATE ROAD 16
ST AUGUSTINE, FL 32084
St. Johns County (904) 824-4391
DAISY ADAMS CENTER, INC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1735 STATE ROAD 16
ST AUGUSTINE, FL 32084
St. Johns County (904) 824-4391

Frequently Asked Questions

What is ST. AUGUSTINE GROUP HOMES, INC's NPI number?

The NPI number assigned to this healthcare provider is 1629117163, enumerated as an "organization" on February 05, 2007.

Where is the provider located?

The provider is located at 1735 STATE ROAD 16 ST AUGUSTINE, FL 32084 and the phone number is (904) 824-4391.

What is the provider's specialty?

Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.