Organization Active NPI

Residential CRF,Inc

  • Home Health Agency
  • Lynn Haven, FL
National Provider Identifier
1235201534
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
4066095 Issued in FL
Legal business name
RESIDENTIAL CRF,INC
Practice address
2133 E 12TH St
Lynn Haven, FL 32444-3109
Phone
(850) 271-5071
NPI assigned
Nov 14, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Miss Marla J Cox, BSW
Title
Regional Director
Phone
(850) 785-0605

National Provider Directory

National Provider Directory
Tax ID family
Residential CRF Inc21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

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

View all 20

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 4066095 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

2133 E 12TH St
Lynn Haven, FL 32444-3109

Mailing address

700 W 23Rd St
Suite 52
Panama City, FL 32405-3936
Phone (850) 785-0605

Other names 1

NPPES NPI Registry
  • Residential CRF,Bayview Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235201534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W 23RD ST",
            "address_2": "SUITE 52",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324053936",
            "telephone_number": "850-785-0605",
            "fax_number": "850-785-8061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2133 E 12TH ST",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324443109",
            "telephone_number": "850-271-5071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESIDENTIAL CRF,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "MARLA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR",
        "authorized_official_telephone_number": "850-785-0605",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "BSW"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "4066095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Residential CRF,Bayview",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lynn Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.