Provider Demographics
NPI:1174490387
Name:FLAGLER CARE HOMES LLC
Entity type:Organization
Organization Name:FLAGLER CARE HOMES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MERIEM
Authorized Official - Middle Name:
Authorized Official - Last Name:EL MOUKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-415-3085
Mailing Address - Street 1:58 UNDERSHIRE PATH
Mailing Address - Street 2:
Mailing Address - City:PALM COAST
Mailing Address - State:FL
Mailing Address - Zip Code:32164-5724
Mailing Address - Country:US
Mailing Address - Phone:904-415-3085
Mailing Address - Fax:386-225-4810
Practice Address - Street 1:58 UNDERSHIRE PATH
Practice Address - Street 2:
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32164-5724
Practice Address - Country:US
Practice Address - Phone:904-415-3085
Practice Address - Fax:386-225-4810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-22
Last Update Date:2025-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency