Active NPI
In Home Recovery Care
- Addiction (Substance Use Disorder) Counselor
- Pensacola, FL
National Provider Identifier
1235779265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Legal business name
- IN HOME RECOVERY CARE
- Practice address
- 4300 Bayou Blvd Ste 35B
Pensacola, FL 32503-2671 - Phone
- (850) 377-5623
- NPI assigned
- Jan 7, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Flounlacker
- Title
- Ceo
- Phone
- (850) 377-5623
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
4300 Bayou Blvd Ste 35B
Pensacola, FL 32503-2671
Mailing address
4300 Bayou Blvd Ste 35B
Pensacola, FL 32503-2671
Phone (850) 377-5623
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| L19000221536 | Medicaid | FL |
Other names 1
- IRC
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | PENSACOLA | Direct |
National Provider Directory
National Provider DirectoryLocations
4300 Bayou Blvd
Ste 35B
Pensacola, FL 32503
Phone (850) 346-6326
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Counseling Psychologist
- Pensacola, FL
- NPI 1447893847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578355200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1578355200000",
"number": "1235779265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 BAYOU BLVD STE 35B",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325032671",
"telephone_number": "850-377-5623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 BAYOU BLVD STE 35B",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325032671",
"telephone_number": "850-377-5623"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IN HOME RECOVERY CARE",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-07",
"last_updated": "2020-01-07",
"certification_date": "2020-01-07",
"status": "A",
"authorized_official_last_name": "FLOUNLACKER",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "850-377-5623"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "L19000221536",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "PENSACOLA",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "4300 Bayou Blvd Ste 35B",
"city": "Pensacola",
"state": "FL",
"country_code": "US",
"postal_code": "325032671",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "IRC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.