Anchorage Children'S Home of Bay County, Inc

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

License

010851 Issued in FL

Legal business name

ANCHORAGE CHILDREN'S HOME OF BAY COUNTY, INC

Practice address

2121 Lisenby Ave
Panama City, FL 32405-2910

Phone

(850) 763-7102

Fax

(850) 769-0855

NPI assigned

Nov 20, 2006

Organization subpart

No

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

Authorized official

Name

David Anthont Mazur

Title

Cfo

Phone

(850) 763-7102

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emily G Brueckner, MSW

  • Social Worker
  • Panama City, FL
  • NPI 1649847401
  NPD (past)
• Bethany Farris, M.S.

  • Mental Health Counselor
  • Panama City, FL
  • NPI 1215284914
  NPD (past)
• Jennessa Hart, MSW

  • Clinical Social Worker
  • Panama City Beach, FL
  • NPI 1275901035
  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467526483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 LISENBY AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324052910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 LISENBY AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324052910",
            "telephone_number": "850-763-7102",
            "fax_number": "850-769-0855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCHORAGE CHILDREN'S HOME OF BAY COUNTY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAZUR",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ANTHONT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "850-763-7102"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "FL",
            "license": "010851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amikids Panama City Marine Institute, Inc
• Binita Amin, M.D.
• Amir Manzoor, MD, PA
• Ams Panama City LLC
• Dheeraj Anand, M.D.
• Anchorpoint Therapy, LLC
• Anderson Agape Counseling Services, LLC
• Amber Anderson, O.D.
• Danika Susan Anderson, D.P.M
• Katarina Augustina Anderson, PT, DPT

• Custodial Care Facility in Panama City, FL
• Providers in Panama City, FL by specialty
• Custodial Care Facility in Florida

• 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.