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KPNCINC
NPI 1629414479
Nursing Facility/Intermediate Care Facility in Jacksonville, FL

Active since May 21, 2013
764 AQUA SURF CT, JACKSONVILLE, FL 32225(904) 554-6051(904) 361-3235 Get Directions Write a Review

NPPES record last updated: May 21, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kpncinc NPPES

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

KPNCINC (NPI 1629414479) is a healthcare organization registered as a nursing facility/intermediate care facility in Jacksonville, Florida and active in the NPI registry since May 2013. The organization lists Agelet St Hubert, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1629414479
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameKPNCINC
Location Address764 AQUA SURF CTJacksonville, FL 32225-0802
Mailing Address764 Aqua Surf CtJacksonville, FL 32225-0802 · (904) 554-6051 · Fax (904) 361-3235
Phone(904) 554-6051
Fax(904) 361-3235
Organization SubpartNo
Authorized OfficialAgelet St HubertOwner/president · (904) 554-6051
Enumeration DateMay 21, 2013
✔ NPI 1629414479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
License✔ Licensed in FL · 6906603
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
764 AQUA SURF CT, Jacksonville, FL 32225
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Other Identifiers 1

Medicaid000568100FL

Other Providers at the Same Location NPPES 3

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

FRIENDS AND ADULT FAMILY CARE HOME
Custodial Care Facility (Adult Care Home)
764 AQUA SURF CT
JACKSONVILLE, FL 32225
Duval County (904) 554-6051
ST HUBERT AGELET
Custodial Care Facility (Adult Care Home)
764 AQUA SURF CT
JACKSONVILLE, FL 32225
Duval County (904) 554-6051
AGELET ST.HUBERT AFCH PROVIDER
Custodial Care Facility (Adult Care Home)
764 AQUA SURF CT
JACKSONVILLE, FL 32225
Duval County (904) 554-6051

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 Kpncinc's NPI number?

The NPI number for Kpncinc is 1629414479. It was assigned to this organization in the NPPES registry on May 21, 2013.

Where is Kpncinc located?

Kpncinc is located at 764 Aqua Surf Ct, Jacksonville, FL 32225. The listed phone number is (904) 554-6051.

What is Kpncinc's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

When was this NPI record last updated?

The NPPES record for Kpncinc was last updated on May 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.