# INTERIM HHA OF ST AUGUSTINE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003899550
- **Authorized official:** STEVEN JAMES ALESSANDRO (CEO)
- **Authorized official phone:** (847) 457-1808

## Contact information

- **Practice address:** 3440 US 1 S, BUILDING 400, SUITE 404, ST AUGUSTINE, FL 32086-6363
- **Practice address phone:** (904) 824-6123
- **Practice address fax:** (904) 829-0999
- **Mailing address:** 7400 BAYMEADOWS WAY STE 107, JACKSONVILLE, FL 32256-6829
- **Mailing address phone:** (904) 448-1133
- **Mailing address fax:** (904) 448-9130

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HHA20589096 | FL | Yes |

## Other

- **Enumeration date:** 11/29/2005
- **Last updated:** 09/03/2025