Healthcare Provider Details

I. General information

NPI: 1447074349
Provider Name (Legal Business Name): FLAGLER CARES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2024
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 CYPRESS POINT PKWY STE B302
PALM COAST FL
32164-8443
US

IV. Provider business mailing address

160 CYPRESS POINT PKWY STE B302
PALM COAST FL
32164-8443
US

V. Phone/Fax

Practice location:
  • Phone: 386-319-9483
  • Fax: 386-463-1030
Mailing address:
  • Phone: 386-319-9483
  • Fax: 386-463-1030

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State

VIII. Authorized Official

Name: RACHAEL GEROW
Title or Position: COO
Credential: MSW
Phone: 386-319-9483