Active NPI
Life Care Companions of Northwest Florida
- In Home Supportive Care Agency
- Pensacola, FL
National Provider Identifier
1255584868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 232860
- Legal business name
- LIFE CARE COMPANIONS OF NORTHWEST FLORIDA
- Practice address
- 8510 Sonnyboy LN
Pensacola, FL 32514-3436 - Phone
- (850) 324-4617
- Fax
- (850) 462-9324
- NPI assigned
- Oct 28, 2008
- Last updated
- Sep 10, 2013
- 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
- Ms. Priscilla C Baldwin
- Title
- Administrator
- Phone
- (850) 324-4617
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | FL | ||
| In Home Supportive Care Agency | 253Z00000X | 232860 | FL | Primary |
Addresses
Primary practice location
8510 Sonnyboy LN
Pensacola, FL 32514-3436
Mailing address
8510 Sonnyboy Lane
Pensacola, FL 32514
Phone (850) 324-4617
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008276300 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225152000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1378771200000",
"number": "1255584868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8510 SONNYBOY LANE",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "32514",
"telephone_number": "850-324-4617",
"fax_number": "850-462-9324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8510 SONNYBOY LN",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325143436",
"telephone_number": "850-324-4617",
"fax_number": "850-462-9324"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE CARE COMPANIONS OF NORTHWEST FLORIDA",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-28",
"last_updated": "2013-09-10",
"status": "A",
"authorized_official_last_name": "BALDWIN",
"authorized_official_first_name": "PRISCILLA",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "850-324-4617",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "FL",
"license": "232860",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008276300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
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 Sep 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.