Organization Active NPI

Home Centered Cna Care Inc

  • Physician Assistant
  • Pensacola, FL
National Provider Identifier
1639869019
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Legal business name
HOME CENTERED CNA CARE INC
Practice address
1517 W Garden St
Pensacola, FL 32502-4508
Phone
(850) 438-1122
Fax
(850) 438-1414
NPI assigned
May 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2023

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

Authorized official

Name
Mary Ann Crumlish, PA
Title
President
Phone
(850) 438-1122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X Primary

Addresses

Primary practice location

1517 W Garden St
Pensacola, FL 32502-4508

Mailing address

1517 W Garden St
Pensacola, FL 32502-4508
Phone (850) 438-1122

National Provider Directory

National Provider Directory

Locations

1517 W Garden St
Pensacola, FL 32502
Phone (850) 438-1122

NPI Registry JSON

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

{
    "created_epoch": "1683676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683676800000",
    "number": "1639869019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 W GARDEN ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325024508",
            "telephone_number": "850-438-1122",
            "fax_number": "850-438-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 W GARDEN ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325024508",
            "telephone_number": "850-438-1122",
            "fax_number": "850-438-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME CENTERED CNA CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-10",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A",
        "authorized_official_last_name": "CRUMLISH",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-438-1122",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; 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.