FLAGLER FAMILY NURSING HOME CARE LLC
NPI 1679172779
Family Medicine in St Augustine, FL
About Flagler Family Nursing Home Care Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FLAGLER FAMILY NURSING HOME CARE LLC (NPI 1679172779) is a healthcare organization registered as a family medicine in St Augustine, Florida and active in the NPI registry since October 2020. The organization lists Christopher Zub, Authorized Official/partner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Flagler Family Nursing Home Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
17Medicare enrollment records show 17 clinicians reassign Medicare billing to Flagler Family Nursing Home Care LLC, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 11 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (17)
Jacksonville, FL 32206
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Flagler Family Nursing Home Care LLC's NPI number?
The NPI number for Flagler Family Nursing Home Care LLC is 1679172779. It was assigned to this organization in the NPPES registry on October 20, 2020.
Where is Flagler Family Nursing Home Care LLC located?
Flagler Family Nursing Home Care LLC is located at 130 Healthpark Blvd, St Augustine, FL 32086. The listed phone number is (904) 826-3469.
What is Flagler Family Nursing Home Care LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Flagler Family Nursing Home Care LLC enrolled in Medicare?
Yes. Flagler Family Nursing Home Care LLC is registered in the Medicare PECOS enrollment system.
When is Flagler Family Nursing Home Care LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Flagler Family Nursing Home Care LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 3 Medicare specialties reassign their Medicare billing to Flagler Family Nursing Home Care LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (8), Nurse Practitioner (8) and Internal Medicine (1). Of these, 8 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Flagler Family Nursing Home Care LLC was last updated on October 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Flagler Family Nursing Home Care Llc · NPI 1679172779
Family Medicine organization in St Augustine, Florida. Organization record, active in the CMS NPPES registry since October 20, 2020.
## Identity
- **NPI:** 1679172779 (Entity type: Organization)
- **Enumerated:** October 20, 2020
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Christopher Zub, AUTHORIZED OFFICIAL/PARTNER
## Practice location
- **Address:** 130 HEALTHPARK BLVD, St Augustine, FL 32086-5776
- **Phone:** (904) 826-3469 · **Fax:** (904) 679-3169
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, Florida, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 17 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (8), Nurse Practitioner (8), Internal Medicine (1); 8 practice at this address and 11 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 20, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1679172779) · Data from the CMS NPPES public registry.