Organization Active NPI

American Eldercare of North Florida, LLC

  • Home Health Agency
  • Tallahassee, FL
National Provider Identifier
1265797369
Registry record updated Jun 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
299993955 Issued in FL
Legal business name
AMERICAN ELDERCARE OF NORTH FLORIDA, LLC
Practice address
325 John Knox Road
Building F Suite 240
Tallahassee, FL 32303-4152
Phone
(850) 462-1380
Fax
(850) 462-1399
NPI assigned
Jul 5, 2012
Last updated
Jun 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2016

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

Authorized official

Name
Ms. Stephanie Brooke Willey, RN
Title
RN FLL
Phone
(850) 486-6093

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 299993955 FL Primary

Addresses

Primary practice location

325 John Knox Road
Building F Suite 240
Tallahassee, FL 32303-4152

Mailing address

325 John Knox Road
Building F Suite 240
Tallahassee, FL 32303-4152
Phone (850) 462-1380

National Provider Directory

National Provider Directory

Locations

325 John Knox Rd
Ste F240
Tallahassee, FL 32303
Phone (850) 462-1380

NPI Registry JSON

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466121600000",
    "number": "1265797369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 JOHN KNOX ROAD",
            "address_2": "BUILDING F SUITE 240",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323034152",
            "telephone_number": "850-462-1380",
            "fax_number": "850-462-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 JOHN KNOX ROAD",
            "address_2": "BUILDING F SUITE 240",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323034152",
            "telephone_number": "850-462-1380",
            "fax_number": "850-462-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN ELDERCARE OF NORTH FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-05",
        "last_updated": "2016-06-17",
        "status": "A",
        "authorized_official_last_name": "WILLEY",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "BROOKE",
        "authorized_official_title_or_position": "RN FLL",
        "authorized_official_telephone_number": "850-486-6093",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299993955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2016; 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.