Organization Active NPI

Life Care Companions of Northwest Florida

  • In Home Supportive Care Agency
  • Pensacola, FL
National Provider Identifier
1255584868
Registry record updated Sep 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
232860 Issued in FL
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
008276300MedicaidFL

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.