Organization Active NPI

Rescare Florida, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Panama City, FL
National Provider Identifier
1316111867
Registry record updated Mar 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
RESCARE FLORIDA, INC.
Practice address
2683 Jenks Ave
Panama City, FL 32405-4351
Phone
(850) 872-9044
NPI assigned
Apr 16, 2008
Last updated
Mar 5, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2020

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

Authorized official

Name
Angie Mattingly
Title
Provider Enrollment Manager
Phone
(502) 630-7425

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X FL Primary

Addresses

Primary practice location

2683 Jenks Ave
Panama City, FL 32405-4351

Mailing address

805 N Whittington Pkwy
Louisville, KY 40222-5186
Phone (800) 866-0860

Other identifiers 1

IdentifierTypeStateIssuer
672197496MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Rescare Florida Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1015 Grace Ave
#C
Panama City, FL 32401
Phone (850) 257-5036

2683 Jenks Ave
Panama City, FL 32405
Phone (850) 769-1976

NPI Registry JSON

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583366400000",
    "number": "1316111867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 N WHITTINGTON PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402225186",
            "telephone_number": "800-866-0860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2683 JENKS AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054351",
            "telephone_number": "850-872-9044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESCARE FLORIDA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A",
        "authorized_official_last_name": "MATTINGLY",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT MANAGER",
        "authorized_official_telephone_number": "502-630-7425"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "672197496",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; 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.