Hammack's Retirement Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

5845 Issued in FL

Legal business name

HAMMACK'S RETIREMENT HOME

Practice address

4919 Hammack Rd
Vernon, FL 32462-3546

Phone

(850) 535-2491

Fax

(850) 535-2491

NPI assigned

Sep 16, 2013

Last updated

Sep 16, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cecil Hammack

Title

Owner

Phone

(850) 535-2491

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1379289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379289600000",
    "number": "1588090021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4919 HAMMACK RD",
            "city": "VERNON",
            "state": "FL",
            "postal_code": "324623546",
            "telephone_number": "850-535-2491",
            "fax_number": "850-535-2491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4919 HAMMACK RD",
            "city": "VERNON",
            "state": "FL",
            "postal_code": "324623546",
            "telephone_number": "850-535-2491",
            "fax_number": "850-535-2491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMMACK'S RETIREMENT HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-16",
        "last_updated": "2013-09-16",
        "status": "A",
        "authorized_official_last_name": "HAMMACK",
        "authorized_official_first_name": "CECIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-535-2491"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "5845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140360500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karmin A K Compton-Diago, MSW
• Helena Cosby-Garcia, MS LMHC
• Michelle Joy Daniels, RN
• Dawn Rene LLC (Vernon Family Health Center)
• Elks Therapy PLLC
• Health First Research Group Inc
• Holmes Creek Assisted Living Facility, Inc.
• Kathleen Jackson
• Kenneth L Jones, PA-C
• Erin Lynn Keip-Strausbaugh, LMHC

• Assisted Living Facility in Vernon, FL
• Providers in Vernon, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2013; 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.