William C Forrest

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

WILLIAM C FORREST

Practice address

1306 Connecticut Ave
Lynn Haven, FL 32444-2030

Phone

(850) 628-9341

NPI assigned

Apr 12, 2017

Organization subpart

No

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

Authorized official

Name

William Forrest

Title

ABA

Phone

(850) 628-9341

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1491955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491955200000",
    "number": "1487188991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 CONNECTICUT AVE",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "32444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 CONNECTICUT AVE",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324442030",
            "telephone_number": "850-628-9341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM C FORREST",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-12",
        "last_updated": "2017-04-12",
        "status": "A",
        "authorized_official_last_name": "FORREST",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "ABA",
        "authorized_official_telephone_number": "850-628-9341"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Lynn Haven, FL
• Providers in Lynn Haven, 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 Apr 12, 2017; 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.