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D/B/A ST. AUGUSTINE CENTER FOR LIVING
NPI 1912193673
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in St Augustine, FL

Active since September 17, 2007CLIA 10D2208661 · Waiver
5155 US HIGHWAY 1 S, ST AUGUSTINE, FL 32086(904) 797-5027(904) 797-5577 Get Directions Write a Review

NPPES record last updated: September 17, 2007. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About D/b/a St. Augustine Center For Living NPPES

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

D/B/A ST. AUGUSTINE CENTER FOR LIVING (NPI 1912193673) 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 September 2007. The organization holds a CLIA Waiver certificate valid through January 6, 2027 and lists Mark Mandic, Owner/pres., as its authorized official.

NPPES Registry Identity

NPI1912193673
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameMANDIC GROUP INC
Location Address5155 US HIGHWAY 1 SSt Augustine, FL 32086-7855
Mailing Address5155 Us Highway 1 SSt Augustine, FL 32086-7855 · (904) 797-5027 · Fax (904) 797-5577
Phone(904) 797-5027
Fax(904) 797-5577
Organization SubpartNo
Authorized OfficialMark MandicOwner/pres. · (904) 797-5027
Enumeration DateSeptember 17, 2007
✔ NPI 1912193673 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
License✔ Licensed in FL · 4075096
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.
5155 US HIGHWAY 1 S, St Augustine, FL 32086
Open in Google Maps ↗

Other Names 1

Doing Business AsD/b/a St. Augustine Center For Living

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2208661

Kb Walter Group LLC Dba St Augustine Center For Living · Saint Augustine, FL
Active · expires Jan 6, 2027
CLIA Number10D2208661
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateJanuary 7, 2025
Certificate Expiration DateJanuary 6, 2027
Laboratory DirectorShirley Graham
Laboratory Phone(904) 797-5027
Laboratory LocationKb Walter Group LLC Dba St Augustine Center For Living5155 Us 1 South, Saint Augustine, FL 32086
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

KBS WALTER GROUP LLC
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
5155 US HIGHWAY 1 S
ST AUGUSTINE, FL 32086
St. Johns County (904) 797-5027

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 Mandic Group Inc's NPI number?

The NPI number for Mandic Group Inc is 1912193673. It was assigned to this organization in the NPPES registry on September 17, 2007. The provider is doing business as D/B/A St. Augustine Center For Living.

Where is Mandic Group Inc located?

Mandic Group Inc is located at 5155 Us Highway 1 S, St Augustine, FL 32086. The listed phone number is (904) 797-5027.

What is Mandic Group Inc's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

Does Mandic Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2208661) is associated with this NPI, valid through January 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mandic Group Inc was last updated on September 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.