NPIMap

Organization Active NPI

Bay County Council on Aging, Inc.

  • In Home Supportive Care Agency
  • Panama City, FL
National Provider Identifier
1104267665
Registry record updated Jul 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
BAY COUNTY COUNCIL ON AGING, INC.
Practice address
1116 Frankford Ave
Panama City, FL 32401-1861
Phone
(850) 769-3468
Fax
(850) 872-2151
NPI assigned
Jul 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2013

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

Authorized official

Name
Elizabeth N. Coulliette
Title
Executive Director
Phone
(850) 769-3468

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1116 Frankford Ave
Panama City, FL 32401-1861

Mailing address

1116 Frankford Ave
Panama City, FL 32401-1861
Phone (850) 769-3468

Other identifiers 1

IdentifierTypeStateIssuer
098851100MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Bay County Council on Aging Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1116 Frankford Ave
Panama City, FL 32401
Phone (850) 769-3468

NPI Registry JSON

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

{
    "created_epoch": "1373587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373587200000",
    "number": "1104267665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 FRANKFORD AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324011861",
            "telephone_number": "850-769-3468",
            "fax_number": "850-872-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 FRANKFORD AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324011861",
            "telephone_number": "850-769-3468",
            "fax_number": "850-872-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY COUNTY COUNCIL ON AGING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-12",
        "last_updated": "2013-07-12",
        "status": "A",
        "authorized_official_last_name": "COULLIETTE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "850-769-3468"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "098851100",
            "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 Jul 12, 2013; 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.