St Augustine Fl Opco LLC
NPI 1417611369 · Skilled Nursing Facility · Saint Augustine, FL
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
St Augustine Fl Opco LLC is a Skilled Nursing Facility organization in Saint Augustine, FL (NPI 1417611369).
Provider details
- NPI number
- 1417611369
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Batya Gorelick, Coo(904) 829-3475
Specialties & taxonomies
Nursing & Custodial Care Facilities
- Respite Care385H00000X
Respite Care Facility
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- The Lilac at Bayview
Registry dates
- Enumerated
- 2021-10-27
- Last updated
- 2023-01-26
- Certified
- 2023-01-26
Frequently asked questions
- What is St Augustine Fl Opco LLC's NPI number?
- St Augustine Fl Opco LLC's National Provider Identifier (NPI) is 1417611369, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is St Augustine Fl Opco LLC?
- St Augustine Fl Opco LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is St Augustine Fl Opco LLC located?
- St Augustine Fl Opco LLC's practice location on file with NPPES is 161 Marine St, Saint Augustine, FL 32084-5154.
- What is St Augustine Fl Opco LLC's phone number?
- The practice phone number listed in the NPPES registry for St Augustine Fl Opco LLC is (904) 829-3475.
- Does St Augustine Fl Opco LLC accept Medicare?
- St Augustine Fl Opco LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for St Augustine Fl Opco LLC?
- The authorized official listed on St Augustine Fl Opco LLC's NPPES record is Batya Gorelick, Coo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is St Augustine Fl Opco LLC's NPI active?
- Yes — St Augustine Fl Opco LLC's NPI (1417611369) is active in the NPPES registry as of the last update on 2023-01-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.