AGELET ST.HUBERT AFCH PROVIDER
NPI 1942857230
Custodial Care Facility - Adult Care Home in Jacksonville, FL
- Individual
- Male
- Custodial Care Facility
- Adult Care Home
About AGELET ST.HUBERT
This page provides the complete NPI Profile along with additional information for Agelet St.hubert, a provider established in Jacksonville, Florida with a medical specialization in Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1942857230 assigned on August 2019. The practitioner's primary taxonomy code is 311ZA0620X with license number 6906603 (FL). The provider is registered as an individual and his NPI record was last updated 7 years ago.
- NPI
- 1942857230 Verify this NPI
- Provider Name
- AGELET ST.HUBERT AFCH PROVIDER
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 764 AQUA SURF CT JACKSONVILLE, FL 32225
- Location Phone
- (904) 554-6051
- Mailing Address
- 764 AQUA SURF CT JACKSONVILLE, FL 32225
- Mailing Phone
- (904) 554-6051
- Mailing Fax
- (866) 373-1832
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-21-2019
- Last Update Date
- 08-21-2019
- Code Navigator
Location Map
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
Custodial Care Facility Adult Care Home
- Taxonomy Code
- 311ZA0620X
- Type
- Nursing & Custodial Care Facilities
- License No.
- 6906603
- License State
- FL
- Taxonomy Description
- A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
JACKSONVILLE, FL 32225
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1942857230, enumerated as an "individual" on August 21, 2019.
The provider is located at 764 AQUA SURF CT JACKSONVILLE, FL 32225 and the phone number is (904) 554-6051.
Custodial Care Facility with taxonomy code 311ZA0620X and a focus in Adult Care Home.
