Active NPI
Rescare Florida, Inc.
- Developmentally Disabled Services Day Training Agency
- Panama City, FL
National Provider Identifier
1316111867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- 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, 2020
- 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
- Angie Mattingly
- Title
- Provider Enrollment Manager
- Phone
- (502) 630-7425
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 672197496 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- Rescare Florida Inc
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual Disabilities Intermediate Care Facility
- Safety Harbor, FL
- NPI 1154499705
-
- Developmentally Disabled Services Day Training Agency
- Panama City, FL
- NPI 1144513243
-
- Intellectual Disabilities Intermediate Care Facility
- Dunedin, FL
- NPI 1861560419
-
- Intellectual Disabilities Intermediate Care Facility
- Dunedin, FL
- NPI 1992864409
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
- George Erwin Reiss, M.D.
- Amanda J Reitmeyer
- Renal Treatment Centers-Southeast, LP. (Panama City Dialysis Center)
- Renew Hypnosis and Counseling
- Rescare Florida, Inc.
- April Resch, ST
- Residential CRF, Inc
- Residential CRF, Inc
- Respiratory Services of Bay, Inc.
- Restoration Home Inc. (Restoration Services)
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.