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: July 19, 2026.

  • Organization
  • Nursing Facility/Intermediate Care Facil...

About KPNCINC

This page provides the complete NPI Profile along with additional information for Kpncinc, a provider established in Jacksonville, Florida operating as a Nursing Facility/intermediate Care Facility. The healthcare provider is registered in the NPI registry with number 1629414479 assigned on May 2013. The practitioner's primary taxonomy code is 313M00000X with license number 6906603 (FL). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Agelet St Hubert (Owner/president)

NPI
1629414479 Verify this NPI
Provider Name
KPNCINC
Entity Type
Organization
Location Address
764 AQUA SURF CT JACKSONVILLE, FL 32225
Location Phone
(904) 554-6051
Location Fax
(904) 361-3235
Mailing Address
764 AQUA SURF CT JACKSONVILLE, FL 32225
Mailing Phone
(904) 554-6051
Mailing Fax
(904) 361-3235
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-21-2013
Last Update Date
05-21-2013
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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

Nursing Facility/Intermediate Care Facility

Taxonomy Code
313M00000X
Type
Nursing & Custodial Care Facilities
License No.
6906603
License State
FL
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

AGELET ST HUBERT

Authorized Official Title
OWNER/PRESIDENT
Authorized Official Phone
(904) 554-6051

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
000568100MEDICAID (05)FL 

Reviews for KPNCINC

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Custodial Care Facility (Adult Care Home)
764 AQUA SURF CT
JACKSONVILLE, FL 32225
Custodial Care Facility (Adult Care Home)
764 AQUA SURF CT
JACKSONVILLE, FL 32225
Custodial Care Facility (Adult Care Home)
764 AQUA SURF CT
JACKSONVILLE, FL 32225

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629414479, enumerated as an "organization" on May 21, 2013.

The provider is located at 764 AQUA SURF CT JACKSONVILLE, FL 32225 and the phone number is (904) 554-6051.

Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.