Agnes Street Home for the Elderly
NPI 1275970204ActiveOrganization· Assisted Living Facility· Jacksonville, FL
Assisted Living Facility in Jacksonville, Florida, registered in NPPES in May 2013. The authorized official on file is Atakelte Admasu, Owner/Administrator.
Overview
| NPI | 1275970204 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 31, 2013 |
| Last updated in NPPES | May 31, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Assisted Living Facility Primary | 310400000X | AL5745 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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