Pensacola Health Trust Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

495 Issued in MS

Legal business name

PENSACOLA HEALTH TRUST INC

Doing business as

Dixie White House Nursing Home

Practice address

538 Menge Ave
Pass Christian, MS 39571-4234

Phone

(228) 452-4344

Fax

(228) 452-2264

NPI assigned

Aug 22, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Scott J Bell

Title

Ceo President

Phone

(850) 430-0000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dixie White House Nursing Home Doing business as

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326030768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 N PALAFOX ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325025631",
            "telephone_number": "850-430-0000",
            "fax_number": "850-436-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "538 MENGE AVE",
            "city": "PASS CHRISTIAN",
            "state": "MS",
            "postal_code": "395714234",
            "telephone_number": "228-452-4344",
            "fax_number": "228-452-2264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENSACOLA HEALTH TRUST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO PRESIDENT",
        "authorized_official_telephone_number": "850-430-0000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MS",
            "license": "495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0230105",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dixie White House Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeanne Hannah Oliver, MS, CCC-SLP
• Christina Lewando Palazzo, MS,LPC
• Michael Joseph Papania, MSN
• Tara Parish, PHARM. D.
• Pass Christian Chiromed, LLC
• Pensacola Health Trust Inc (Miramar Lodge)
• Laura Pipoly, LPC, E.D.D, NCC
• Alicia Puckett
• Kathleen Caboni Quinn, EDD, WHNP
• Gregory W Randolph, MD

• Skilled Nursing Facility in Pass Christian, MS
• Providers in Pass Christian, MS by specialty
• Skilled Nursing Facility in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.