ELDERCARE SERVICES OF TALLAHASSEE NPI 1902108418

NPI Information

  • NPI: 1902108418
  • Provider Name: ELDERCARE SERVICES OF TALLAHASSEE
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: ST. AUGUSTINE PLANTATION ASSISTED LIVING
  • CLIA Number: 10D1025106
  • Address: 2507 OLD SAINT AUGUSTINE RD
    TALLAHASSEE, FL
    ZIP 32301
  • Phone: (850) 309-1982

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NPI Details

ELDERCARE SERVICES OF TALLAHASSEE is an assisted living facility in Tallahassee, FL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. ELDERCARE SERVICES OF TALLAHASSEE NPI is 1902108418. The provider is registered as an organization entity type.
The provider Is Doing Business As St. Augustine Plantation Assisted Living.

The provider's business location address is:

2507 OLD SAINT AUGUSTINE RD
TALLAHASSEE, FL
ZIP 32301-209
Phone: (850) 309-1982
Fax: (850) 597-8305

The provider's authorized official is Michael Scott Brookins .
The authorized official title is President and has the following contact phone number (850) 309-1982.

The CLIA number assigned to this NPI record is 10D1025106 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/3/2010 and was last updated on 12/3/2010.

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
1310400000XAssisted Living FacilityAL9149FLORIDAYes

What is NPI?

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

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