Express Pensacola HHA, Inc.
Organization Active NPI Home Health Agency · Destin, FL
NPI 1376893891 · NPPES record last updated Sep 12, 2012
Key facts
- NPI
- 1376893891
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 299994035 (FL)
- Legal business name
- EXPRESS PENSACOLA HHA, INC.
- Practice address
- 910 Airport Rd
Suite A1
Destin, FL 32541-2805 - Phone
- (850) 460-2108
- Fax
- (850) 460-2106
- NPI assigned
- Sep 12, 2012
- Organization subpart
- No
Authorized official
- Name
- Mr. Anthony A Kalishman
- Title
- VP
- Phone
- (352) 328-1607
National Provider Directory
Locations
910 Airport Rd
Ste A1
Destin, FL 32541
Phone (850) 460-2108
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 299994035 | FL | Yes |
Addresses
Primary practice location
910 Airport Rd
Suite A1
Destin, FL 32541-2805
Mailing address
910 Airport Rd
Suite A1
Destin, FL 32541-2805
Phone (850) 460-2108
Other names
- Champion Home Health Care
Other providers in Destin, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2012. 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.