Active NPI
Council on Aging of West Florida, Inc.
- Respite Care
- Pensacola, FL
National Provider Identifier
1265603443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respite Care
- License
- RN0983212
- Legal business name
- COUNCIL ON AGING OF WEST FLORIDA, INC.
- Practice address
- 875 Royce St
Pensacola, FL 32503-2461 - Phone
- (850) 432-1475
- Fax
- (850) 479-7986
- NPI assigned
- Mar 17, 2008
- 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
- Mr. Joshua D Newby, M.A.
- Title
- President/Ceo
- Phone
- (850) 432-1475
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | |||
| Home Delivered Meals | 332U00000X | |||
| Respite Care | 385H00000X | RN0983212 | FL | Primary |
Addresses
Primary practice location
875 Royce St
Pensacola, FL 32503-2461
Mailing address
875 Royce St
Pensacola, FL 32503-2461
Phone (850) 432-1475
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 024862200 | Medicaid | FL | |
| 024862201 | 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": "1205712000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675123200000",
"number": "1265603443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "875 ROYCE ST",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325032461",
"telephone_number": "850-432-1475",
"fax_number": "850-479-7986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "875 ROYCE ST",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325032461",
"telephone_number": "850-432-1475",
"fax_number": "850-479-7986"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNCIL ON AGING OF WEST FLORIDA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-17",
"last_updated": "2023-01-31",
"certification_date": "2023-01-31",
"status": "A",
"authorized_official_last_name": "NEWBY",
"authorized_official_first_name": "JOSHUA",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "850-432-1475",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.A."
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "332U00000X",
"taxonomy_group": "",
"desc": "Home Delivered Meals",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "FL",
"license": "RN0983212",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "024862200",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "024862201",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
- Stephen Nicholous Cothran, RPH
- James M Coticchia, MD,
- Deck Franklin Couch, D.D.S.
- Gordon Thames Couch, M.D.
- Lorrie Dianne Coulson
- Counseling and Psychological Associates PA
- Kenneth Counselman, MD
- Evan Kelly Courtney, PA-C
- James E. Covan Jr., DMD, MPH
- Covenant Home Health Care, LLC (Concierge Home Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.