Active NPI
Senior House Call SVC Inc
- Clinic/Center
- Palmetto, FL
National Provider Identifier
1013241801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- ME23667
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001642900 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI 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.