Organization Active NPI

Senior House Call SVC Inc

  • Clinic/Center
  • Palmetto, FL
National Provider Identifier
1013241801
Registry record updated Oct 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
ME23667 Issued in FL
Legal business name
SENIOR HOUSE CALL SVC INC
Practice address
1515 9TH St W
Palmetto, FL 34221-4463
Phone
(941) 891-5643
Fax
(941) 981-5644
NPI assigned
Sep 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. John A Johnson, MD
Title
President
Phone
(941) 981-5643

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X ME23667 FL Primary

Addresses

Primary practice location

1515 9TH St W
Palmetto, FL 34221-4463

Mailing address

1515 9TH Street W
Palmetto, FL 34221-4463
Phone (941) 981-5642

Other identifiers 1

IdentifierTypeStateIssuer
001642900MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1253836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349308800000",
    "number": "1013241801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 9TH STREET W",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342214463",
            "telephone_number": "941-981-5642",
            "fax_number": "941-981-5644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 9TH ST W",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342214463",
            "telephone_number": "941-891-5643",
            "fax_number": "941-981-5644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR HOUSE CALL SVC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-25",
        "last_updated": "2012-10-04",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-981-5643",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "ME23667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001642900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmetto, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.