Organization Active NPI

Emerald Gardens Properties, LLC

  • Assisted Living Facility
  • Pensacola, FL
National Provider Identifier
1255669883
Registry record updated Nov 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
11667 Issued in FL
Legal business name
EMERALD GARDENS PROPERTIES, LLC
Practice address
1012 N 72ND Ave
Pensacola, FL 32506-3810
Phone
(850) 458-8558
Fax
(850) 458-8559
NPI assigned
Nov 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Danny McCray
Title
Pres
Phone
(850) 458-8558

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 11667 FL Primary

Addresses

Primary practice location

1012 N 72ND Ave
Pensacola, FL 32506-3810

Mailing address

1012 N 72ND Ave
Pensacola, FL 32506-3810
Phone (850) 458-8558

National Provider Directory

National Provider Directory

Locations

1012 N 72nd Ave
Pensacola, FL 32506
Phone (850) 458-8558

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258588800000",
    "number": "1255669883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 N 72ND AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325063810",
            "telephone_number": "850-458-8558",
            "fax_number": "850-458-8559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 N 72ND AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325063810",
            "telephone_number": "850-458-8558",
            "fax_number": "850-458-8559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD GARDENS PROPERTIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-19",
        "last_updated": "2009-11-19",
        "status": "A",
        "authorized_official_last_name": "MCCRAY",
        "authorized_official_first_name": "DANNY",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "850-458-8558"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "11667",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 19, 2009; 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.