Stephens Memorial Home

LBN: Stephens Memorial Home
Stephens Memorial Home is an health care organization with primary practice located at 5805 Datil Pepper Rd , Saint Augustine FL 32086-5699. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Stephens Memorial Home can be contacted via phone (904) 797-0294, or through Stephens, Brenda via phone (904) 797-0294.

Contact Information

Primary practice address
5805 Datil Pepper Rd Saint Augustine FL 32086-5699
Phone: (904) 797-0294
Fax: (904) 797-6372
Website:
Map and Directions
Authorized official contact:
Name: Stephens, Brenda
Phone: (904) 797-0294

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X AL10189 Florida

Profile Details

NPI number 1316381890
LBN Legal business name Stephens Memorial Home
DBA Doing business as
Authorized official Stephens, Brenda
Entity Organization
Organization subpart 1 No
Enumeration date Apr 26th, 2013
Last updated Apr 26th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316381890 NPPES
Florida MEDICAID 685603900

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