Organization Active NPI

White Sands Home Care LLC

  • In Home Supportive Care Agency
  • Gulf Breeze, FL
National Provider Identifier
1225862352
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
WHITE SANDS HOME CARE LLC
Practice address
300 Williamsburg Dr
Gulf Breeze, FL 32561-4526
Phone
(850) 208-4656
NPI assigned
Aug 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Authorized official

Name
Max Haines
Title
Owner
Phone
(850) 208-4656

Specialties & licenses 1

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

Addresses

Primary practice location

300 Williamsburg Dr
Gulf Breeze, FL 32561-4526

Mailing address

300 Williamsburg Dr
Gulf Breeze, FL 32561-4526

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1724976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1225862352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 WILLIAMSBURG DR",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 WILLIAMSBURG DR",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614526",
            "telephone_number": "850-208-4656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE SANDS HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-30",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A",
        "authorized_official_last_name": "HAINES",
        "authorized_official_first_name": "MAX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-208-4656"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulf Breeze, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.