Betty J. Gaines Sadler

Individual provider Active NPI Home Health Agency · Lynn Haven, FL

NPI 1639822844 · NPPES record last updated Jan 28, 2022

Key facts

NPI
1639822844
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Agency 251E00000X
Practice address
800 E Pine Forest Dr
Lynn Haven, FL 32444-4371
Phone
(850) 624-1767
NPI assigned
Jan 28, 2022
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Betty Jean Sadler Past
since Feb 1, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X
Home Health Agency 251E00000X FL
In Home Supportive Care Agency 253Z00000X
Nurse's Aide
Group: 193400000X SINGLE SPECIALTY GROUP
376K00000X
Home Health Agency 251E00000X Yes

Addresses

Primary practice location

800 E Pine Forest Dr
Lynn Haven, FL 32444-4371

Mailing address

800 E Pine Forest Dr
Lynn Haven, FL 32444-4371
Phone (850) 624-1767

Other names

  • Mrs. Betty J. Gaines Sadler Former name

Other providers in Lynn Haven, FL

All providers in Lynn Haven, FL · Home Health Agency in Florida

Sources for this page

Verify at the official NPI Registry.