Active NPI
Professional Health Care Services Inc
- Durable Medical Equipment & Medical Supplies
- Fort Walton Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 6714
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930024946 | AL | DME Supplier - Medical Supply Company | 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).
-
dba PHCS Home Medical Equipment INC
- Durable Medical Equipment & Medical Supplies
- Pensacola, FL
- NPI 1508268426
9537285101
-
dba PHCS Home Medical Equipment
- Durable Medical Equipment & Medical Supplies
- Panama City, FL
- NPI 1659878676
9537285101
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Professional Health Care Services I | 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 assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Professional Health Care Services Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba PHCS Home Medical Equipment INC
- Durable Medical Equipment & Medical Supplies
- Pensacola, FL
- NPI 1508268426
-
dba PHCS Home Medical Equipment
- Durable Medical Equipment & Medical Supplies
- Panama City, FL
- NPI 1659878676
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Duncan Medical Equipment
- Durable Medical Equipment & Medical Supplies
- Fort Payne, AL
- NPI 1770569428
Member Of
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
- Angelina Virginia Prieto
- Nadia R Prieto
- Primetime Physical Therapy LLC
- Prince Properties (Lice Clinics of America of Emerald Coast)
- Pro Vita Physical Therapy LLC (Pro Vita Physical Therapy - Shalimar)
- Progressive Health Clinic, LLC
- Jennifer Lee Pruitt, APRN
- Publix Super Markets Inc (Publix Pharmacy #1303)
- Publix Super Markets Inc (Publix Pharmacy #0766)
- Publix Super Markets Inc (Publix Pharmacy #0383)
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.