Gulf County Senior Citizens Association, Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

5895 Issued in FL

Legal business name

GULF COUNTY SENIOR CITIZENS ASSOCIATION, INC

Practice address

120 Library Dr
Port St Joe, FL 32456-1650

Phone

(850) 229-8466

Fax

(850) 227-1877

NPI assigned

Apr 18, 2012

Last updated

Apr 18, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Russell Scholz

Title

Executive Director

Phone

(850) 229-8466

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334707200000",
    "number": "1194082917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 LIBRARY DR",
            "city": "PORT ST JOE",
            "state": "FL",
            "postal_code": "324561650",
            "telephone_number": "850-229-8466",
            "fax_number": "850-227-1877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 LIBRARY DR",
            "city": "PORT ST JOE",
            "state": "FL",
            "postal_code": "324561650",
            "telephone_number": "850-229-8466",
            "fax_number": "850-227-1877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COUNTY SENIOR CITIZENS ASSOCIATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-18",
        "last_updated": "2012-04-18",
        "status": "A",
        "authorized_official_last_name": "SCHOLZ",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "850-229-8466",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "5895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "670698300",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "679633800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gulf County Chiropractic
• Gulf County School Board
• Gulf County School Board
• Gulf County School Board
• Gulf County School Board
• Kaitlyn Hale, SLP
• Patricia A Hammonds, ARNP
• Barry L. Hand
• Stacy L Harbin, MD
• Noel Jason Hartough, LMHC

• In Home Supportive Care Agency in Port St Joe, FL
• Providers in Port St Joe, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.

Verify at the official NPI Registry.