Healthcare Provider Details

I. General information

NPI: 1811876485
Provider Name (Legal Business Name): NAYAR HEALTH CARE ST AUGUSTINE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2025
Last Update Date: 08/28/2025
Certification Date: 08/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2155 OLD MOULTRIE RD STE 1112155
ST AUGUSTINE FL
32086-5102
US

IV. Provider business mailing address

300 ASHCAKE RD
ASHLAND VA
23005-2332
US

V. Phone/Fax

Practice location:
  • Phone: 804-330-5433
  • Fax: 866-554-5041
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: AKSHAY KUMAR NAYAR
Title or Position: OWNER
Credential:
Phone: 804-330-5433