Butler'S Community Services, Inc.

Key facts

NPI: 1306167127
Entity type: Organization (NPI type 2)
Primary specialty: Home Health Agency 251E00000X
Legal business name: BUTLER'S COMMUNITY SERVICES, INC.
Practice address: 3771 Highway 69
Greenwood, FL 32443-2149
Phone: (850) 592-3200
Fax: (850) 592-8669
NPI assigned: Jun 15, 2010
Organization subpart: No

Authorized official

Name: Mrs. Idwella Gaines Butler
Title: President
Phone: (850) 592-3200

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Home Health Agency	251E00000X			Yes

Addresses

Primary practice location

3771 Highway 69
Greenwood, FL 32443-2149

Mailing address

3771 Highway 69
Greenwood, FL 32443-2149
Phone (850) 592-3200

Other identifiers

Identifier	Type	State	Issuer
450644896	Medicaid	FL
450644898	Medicaid	FL

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 15, 2010.

{
    "created_epoch": "1276560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276560000000",
    "number": "1306167127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3771 HIGHWAY 69",
            "city": "GREENWOOD",
            "state": "FL",
            "postal_code": "324432149",
            "telephone_number": "850-592-3200",
            "fax_number": "850-592-8669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3771 HIGHWAY 69",
            "city": "GREENWOOD",
            "state": "FL",
            "postal_code": "324432149",
            "telephone_number": "850-592-3200",
            "fax_number": "850-592-8669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUTLER'S COMMUNITY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-15",
        "last_updated": "2010-06-15",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "IDWELLA",
        "authorized_official_middle_name": "GAINES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-592-3200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "450644896",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "450644898",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, FL

All providers in Greenwood, FL · Home Health Agency in Florida

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2010. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.