Organization Active NPI

Council on Aging of West Florida, Inc.

  • Respite Care
  • Pensacola, FL
National Provider Identifier
1265603443
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
License
RN0983212 Issued in FL
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

Updated by the provider on Jan 31, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
024862200MedicaidFL
024862201MedicaidFL

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.