INTERIM HHA OF ST AUGUSTINE INC – Home Health Agency, NPI 1003899550
Home Health Agency
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for INTERIM HHA OF ST AUGUSTINE INC
7999, Philips Highway, Jacksonville, Duval County, Florida, 32256, United States
SUITE 304
JACKSONVILLE, FL 322564443
Phone: (904) 448-1133
Fax: (904) 448-9130
Type: Mailing
South Ponce de Leon Boulevard, Saint Augustine, Saint Johns County, Florida, 32084, United States
BUILDING 400, SUITE 404
ST AUGUSTINE, FL 320866363
Phone: (904) 824-6123
Fax: (904) 829-0999
Type: Location
7400 BAYMEADOWS WAY STE 107
JACKSONVILLE, FL 322566829
Phone: (904) 448-1133
Fax: (904) 448-9130
Type: Mailing
6950 PHILIPS HIGHWAY, SUITE 3
JACKSONVILLE, FL 32216
Phone: (904) 448-1133
Fax: (904) 448-9130
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2009-03-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20090311000195 | O | Home Health Agency | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32256)
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