Organization Active NPI

Harborchase of Tallahassee, Inc.

  • Assisted Living Facility
  • Tallahassee, FL
National Provider Identifier
1548681802
Registry record updated Jan 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL9730 Issued in FL
Legal business name
HARBORCHASE OF TALLAHASSEE, INC.
Doing business as
HarborChase of Tallahassee
Practice address
100 John Knox Rd
Tallahassee, FL 32303-6673
Phone
(850) 531-0404
Fax
(850) 531-0579
NPI assigned
Jan 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2014

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

Authorized official

Name
Thomas Mitchell
Title
Treasurer
Phone
(772) 492-5002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL9730 FL Primary

Addresses

Primary practice location

100 John Knox Rd
Tallahassee, FL 32303-6673

Mailing address

1440 Highway A1A
Vero Beach, FL 32963-2310
Phone (772) 492-5002

Other names 1

  • HarborChase of Tallahassee Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1388707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388707200000",
    "number": "1548681802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 HIGHWAY A1A",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329632310",
            "telephone_number": "772-492-5002",
            "fax_number": "772-492-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 JOHN KNOX RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323036673",
            "telephone_number": "850-531-0404",
            "fax_number": "850-531-0579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBORCHASE OF TALLAHASSEE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-03",
        "last_updated": "2014-01-03",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "772-492-5002"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL9730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HarborChase of Tallahassee",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; 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.