Organization Active NPI

D M & D Coastal Investments LLC

  • In Home Supportive Care Agency
  • Pensacola, FL
National Provider Identifier
1124468186
Registry record updated Oct 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
30211679 Issued in FL
Legal business name
D M & D COASTAL INVESTMENTS LLC
Practice address
1497 A Creighton Road
Pensacola, FL 32504
Phone
(850) 497-6908
Fax
(850) 497-6741
NPI assigned
Jul 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2014

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

Authorized official

Name
Mr. Mike E. McKelvaine
Title
Director/Administrator
Phone
(850) 497-6908

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X FL
In Home Supportive Care Agency 253Z00000X 30211679 FL Primary

Addresses

Primary practice location

1497 A Creighton Road
Pensacola, FL 32504

Mailing address

1497 A Creighton Road
Pensacola, FL 32504
Phone (850) 497-6908

Other names 1

  • Griswold Home Care of NW Florida Doing business as

National Provider Directory

National Provider Directory

Locations

1497 Creighton Rd
Ste A
Pensacola, FL 32504
Phone (850) 497-6908

NPI Registry JSON

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

{
    "created_epoch": "1372896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414454400000",
    "number": "1124468186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1497 A CREIGHTON ROAD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "32504",
            "telephone_number": "850-497-6908",
            "fax_number": "850-497-6741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1497 A CREIGHTON ROAD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "32504",
            "telephone_number": "850-497-6908",
            "fax_number": "850-497-6741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D M & D COASTAL INVESTMENTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-04",
        "last_updated": "2014-10-28",
        "status": "A",
        "authorized_official_last_name": "MCKELVAINE",
        "authorized_official_first_name": "MIKE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "DIRECTOR/ADMINISTRATOR",
        "authorized_official_telephone_number": "850-497-6908",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "30211679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Griswold Home Care of NW Florida",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.