Organization Active NPI

Professional Health Care Services Inc

  • Durable Medical Equipment & Medical Supplies
  • Fort Walton Beach, FL
National Provider Identifier
1548262850
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
6714 Issued in AL
Legal business name
PROFESSIONAL HEALTH CARE SERVICES INC
Practice address
350 Racetrack Rd NW Ste C
Fort Walton Beach, FL 32547-1554
Phone
(850) 279-1200
Fax
(850) 250-5508
NPI assigned
Jun 1, 2005
Last updated
Jun 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Authorized official

Name
Lisa J Wells
Title
SVP
Phone
(205) 221-8258

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 6714 AL Primary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 6714 AL
Oxygen Equipment & Supplies (DME) 332BX2000X 900048 AL

Addresses

Primary practice location

350 Racetrack Rd NW Ste C
Fort Walton Beach, FL 32547-1554

Mailing address

350 Racetrack Rd NW Ste C
Fort Walton Beach, FL 32547-1554
Phone (850) 279-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930024946 AL DME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Respiratory Therapist 9537285101 Practice locations: Foley, AL

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Professional Health Care Services I350 Racetrack Rd NW, Fort Walton Beach, FL 32547-1554(850) 279-1200 Negative Pressure Wound Therapy Pumps/Supplies|Wheelchairs (Standard Power)|Wheelchairs (Standard Power Related Accessories)|Orthoses: Off-The-Shelf|Tracheotomy Supplies|Continuous Positive Airway Pressure (CPAP) Devices|High Freq Chest Wall Oscillation Devices/Supplies|Intrapulmonary Percussive Ve… Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Professional Health Care Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

20252 State Highway 181
Fairhope, AL 36532

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782777600000",
    "number": "1548262850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 RACETRACK RD NW STE C",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471554",
            "telephone_number": "850-279-1200",
            "fax_number": "850-250-5508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 RACETRACK RD NW STE C",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471554",
            "telephone_number": "850-279-1200",
            "fax_number": "850-250-5508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL HEALTH CARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SVP",
        "authorized_official_telephone_number": "205-221-8258"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AL",
            "license": "6714",
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "AL",
            "license": "6714",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "AL",
            "license": "900048",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.