Center for Aging and Rehabilitation of Gulf County Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CENTER FOR AGING AND REHABILITATION OF GULF COUNTY INC

Practice address

220 9TH St
Port St Joe, FL 32456-1924

Phone

(850) 229-8244

Fax

(850) 229-1042

NPI assigned

Dec 3, 2020

Organization subpart

No

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

Authorized official

Name

Robert Alan Brock

Title

President

Phone

(954) 367-4597

Specialties & licenses 1

Addresses

Other names 1

• Gulf Shores Care Center Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611705600000",
    "number": "1134724487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SE 2ND ST STE 2000",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331312101",
            "telephone_number": "954-367-4597",
            "fax_number": "954-367-4564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 9TH ST",
            "city": "PORT ST JOE",
            "state": "FL",
            "postal_code": "324561924",
            "telephone_number": "850-229-8244",
            "fax_number": "850-229-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR AGING AND REHABILITATION OF GULF COUNTY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-03",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A",
        "authorized_official_last_name": "BROCK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-367-4597"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nhags@carfl.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "220 9th St",
            "city": "Port St Joe",
            "state": "FL",
            "country_code": "US",
            "postal_code": "324561924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Gulf Shores Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tandra F Burns, BA
• William Rex Buzzett
• Candi Calderon, CPNP
• Efren Carbonell, M.D.
• Betty June Causey, LPN
• Cep America LLC
• Brent W Chapman, MD
• Steven Blayne Cherry, PHARMD
• Chirolife Wellness
• Coastal Foot and Ankle Clinic PA.

• Skilled Nursing Facility in Port St Joe, FL
• Providers in Port St Joe, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.