AUDRAH HYATT NPI 1194484295

NPI Information

  • NPI: 1194484295
  • Provider Name: AUDRAH HYATT
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Individual
  • Address: 767 BLANDING BLVD STE 110B
    ORANGE PARK, FL
    ZIP 32065
  • Phone: (803) 318-2052

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NPI Details

Audrah Hyatt is a community based residential treatment facility, intellectual and/or developmental disabilities in Orange Park, FL. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. Audrah Hyatt NPI is 1194484295. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

767 BLANDING BLVD STE 110B
ORANGE PARK, FL
ZIP 32065-788
Phone: (803) 318-2052
Fax: (904) 203-7302

The enumeration date for this NPI number is 12/16/2021 and was last updated on 12/16/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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