Organization Active NPI

All American Ppec LLC

  • Pediatric Skilled Nursing Facility
  • Panama City, FL
National Provider Identifier
1043612930
Registry record updated Sep 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X
License
60081009 Issued in FL
Legal business name
ALL AMERICAN PPEC LLC
Practice address
2810 Highway 77
Suite a
Panama City, FL 32405-4479
Phone
(850) 481-1444
NPI assigned
Sep 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2014

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

Authorized official

Name
Mohamed Abdelli
Title
Administrator
Phone
(850) 960-5045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Skilled Nursing Facility 3140N1450X 60081009 FL Primary

Addresses

Primary practice location

2810 Highway 77
Suite a
Panama City, FL 32405-4479

Mailing address

2810 Highway 77
Suite a
Panama City, FL 32405-4479

Other identifiers 2

IdentifierTypeStateIssuer
002673600MedicaidFL
272366200MedicaidFL

National Provider Directory

National Provider Directory

Locations

2810 Highway 77
Ste A
Panama City, FL 32405
Phone (850) 481-1444

NPI Registry JSON

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

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411344000000",
    "number": "1043612930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 HIGHWAY 77",
            "address_2": "SUITE A",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 HIGHWAY 77",
            "address_2": "SUITE A",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054479",
            "telephone_number": "850-481-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL AMERICAN PPEC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-22",
        "last_updated": "2014-09-22",
        "status": "A",
        "authorized_official_last_name": "ABDELLI",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "850-960-5045"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "FL",
            "license": "60081009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002673600",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272366200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2014; 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.