Provider Demographics
NPI:1619349651
Name:U ENTERPRISES, LLC
Entity Type:Organization
Organization Name:U ENTERPRISES, LLC
Other - Org Name:HOME CARE ASSISTANCE ST. AUGUSTINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:FRANCIS
Authorized Official - Last Name:FARRELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-479-9603
Mailing Address - Street 1:3555 US HIGHWAY 17 STE 1
Mailing Address - Street 2:
Mailing Address - City:FLEMING ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32003-7140
Mailing Address - Country:US
Mailing Address - Phone:904-479-9603
Mailing Address - Fax:
Practice Address - Street 1:910 S WINTERHAWK DR
Practice Address - Street 2:SUITE 106
Practice Address - City:ST AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32086-3870
Practice Address - Country:US
Practice Address - Phone:904-651-6933
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-29
Last Update Date:2015-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL233891251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL233891OtherAHCA