North Okaloosa Home Health, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

22018096 Issued in FL

Legal business name

NORTH OKALOOSA HOME HEALTH, LLC

Doing business as

Gulf Coast Home Health

Practice address

2207 S Ferdon Blvd
Crestview, FL 32536-8458

Phone

(850) 682-9244

Fax

(850) 682-6816

NPI assigned

May 9, 2006

Last updated

Jun 20, 2019By 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

Joshua L. Proffitt

Title

Treasurer

Phone

(337) 233-1307

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Gulf Coast Home Health Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tammy Suggs, RN

  • Home Health Registered Nurse
  • Crestview, FL
  • NPI 1558999805
  NPD (past)

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560988800000",
    "number": "1376592022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51266",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705051266",
            "telephone_number": "337-233-1307",
            "fax_number": "337-233-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2207 S FERDON BLVD",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325368458",
            "telephone_number": "850-682-9244",
            "fax_number": "850-682-6816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH OKALOOSA HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2019-06-20",
        "status": "A",
        "authorized_official_last_name": "PROFFITT",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "337-233-1307"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "22018096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "651140600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "HF1",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gulf Coast Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gulf Coast Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• North Okaloosa Clinic Corp
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• North Okaloosa Clinic Corp
• North Okaloosa Health Care Associates LLC (Shoal Creek Rehabilitation Center)
• Northland Hearing Center, Inc. (U.S. Hearing Solutions)
• Northwest Florida Diabetes & Nutrition Center, LLC
• Angel A Nunez, MD
• Nursetel
• Devin O'Hara, D.O.

• Home Health Agency in Crestview, FL
• Providers in Crestview, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; 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.