Active NPI
Wakulla County Senior Citizens Council, Inc.
- In Home Supportive Care Agency
- Crawfordville, FL
National Provider Identifier
1609117787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 14936
- Legal business name
- WAKULLA COUNTY SENIOR CITIZENS COUNCIL, INC.
- Practice address
- 33 Michael Dr
Crawfordville, FL 32327-2070 - Phone
- (850) 926-7145
- Fax
- (850) 926-8138
- NPI assigned
- Mar 14, 2013
- Last updated
- Mar 14, 2013
- 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
- Mr. T.W. Maurice Langston
- Title
- Executive Director
- Phone
- (850) 926-7145
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | 14936 | FL | Primary |
Addresses
Primary practice location
33 Michael Dr
Crawfordville, FL 32327-2070
Mailing address
33 Michael Dr
Crawfordville, FL 32327-2070
Phone (850) 926-7145
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 099417100 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- Wakulla County Senior Citizens
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Management Agency
- Crawfordville, FL
- NPI 1487850756
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363219200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1363219200000",
"number": "1609117787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 MICHAEL DR",
"city": "CRAWFORDVILLE",
"state": "FL",
"postal_code": "323272070",
"telephone_number": "850-926-7145",
"fax_number": "850-926-8138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 MICHAEL DR",
"city": "CRAWFORDVILLE",
"state": "FL",
"postal_code": "323272070",
"telephone_number": "850-926-7145",
"fax_number": "850-926-8138"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WAKULLA COUNTY SENIOR CITIZENS COUNCIL, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-14",
"last_updated": "2013-03-14",
"status": "A",
"authorized_official_last_name": "LANGSTON",
"authorized_official_first_name": "T.W.",
"authorized_official_middle_name": "MAURICE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "850-926-7145",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "FL",
"license": "14936",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "099417100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Crawfordville, FL
- Wakulla County Health Department
- Wakulla County Health Department
- Wakulla County School Board
- Wakulla County School Board
- Wakulla County Senior Citizens
- Wakulla Station Pharmacy, Inc
- Wakulla Urgent Care & Diagnostic Center PLC
- Wakulla Urgent Care & Diagnostic Center PLC
- Wal-Mart Stores East LP (Walmart Pharmacy 10-3307)
- Wal-Mart Stores East, LP (Vision Center 30-3307)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.