Individual provider Active NPI

Miranda Hensley

  • In Home Supportive Care Agency
  • Pensacola, FL
National Provider Identifier
1467137901
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
30212601 Issued in FL
Practice address
7313 Dogwood Terrace Dr
Pensacola, FL 32504-6708
Phone
(903) 826-9551
Fax
(850) 303-2009
NPI assigned
Jun 21, 2023
Last updated
Jun 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 30212601 FL Primary

Addresses

Primary practice location

7313 Dogwood Terrace Dr
Pensacola, FL 32504-6708

Mailing address

7313 Dogwood Terrace Dr
Pensacola, FL 32504-6708
Phone (903) 826-9551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30212601FLMDIn Home Supportive Care Agency

Practice roles

OrganizationSpecialtyStatusNew patients
On Call Elder Care In Home Supportive Care CurrentSince Aug 6, 2023 Accepting new patients
Decena LLC CurrentSince Jun 25, 2023 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1467137901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7313 DOGWOOD TERRACE DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046708",
            "telephone_number": "903-826-9551",
            "fax_number": "850-303-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7313 DOGWOOD TERRACE DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046708",
            "telephone_number": "903-826-9551",
            "fax_number": "850-303-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSLEY",
        "first_name": "MIRANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "30212601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.