Active NPI
Residential CRF,Inc
- Home Health Agency
- Lynn Haven, FL
National Provider Identifier
1235201534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 4066095
- 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 Inc
Other organizations with this tax ID 20
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Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 4066095 | FL | Primary |
Addresses
NPPES NPI RegistryPrimary 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
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.