THE ARC OF THE ST JOHNS – NPI #1699597880
Clinic/Center

THE ARC OF THE ST JOHNS is an AHC clinic located in SAINT AUGUSTINE, FL. NPPES has assigned the NPI number 1699597880 to THE ARC OF THE ST JOHNS on October 29, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA0600X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adult Day Care

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for THE ARC OF THE ST JOHNS below.

NPI Profile for
THE ARC OF THE ST JOHNS

NPI Number
1699597880
Enumeration Date

(more than a year ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
THE ARC OF THE ST JOHNS
Primary location
2101 ARC DRIVE
SAINT AUGUSTINE, FL 32084
Phone: (904) 824-7249 Fax:
Mailing address
2101 ARC DR
ST AUGUSTINE, FL 32084-0512
Phone: (904) 824-7249 Fax:
Organization Subpart
No
Authorized Official
JUSTIN BREIDENSTEIN
CFO
Phone: (904) 824-7249
Updated
Certification Date
Oct 24, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for THE ARC OF THE ST JOHNS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidFL123049600
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA0600X
- Clinic/Center / Adult Day Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.