Emerald Coast Adult Day Care Center LLC

Primary specialty

Respite CareTaxonomy code 385H00000X

License

9277 Issued in FL

Legal business name

EMERALD COAST ADULT DAY CARE CENTER LLC

Practice address

983 Airport Rd
Destin, FL 32541-2835

Phone

(850) 460-2929

Fax

(850) 460-2952

NPI assigned

Jun 16, 2014

Last updated

Jun 16, 2014By 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

Mr. Donald GrosskopfNPI 1003136938

Title

Owner/Manager

Phone

(850) 417-6308

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Donald Ray Grosskopf, LPTA

  • Physical Therapy Assistant
  • Niceville, FL
  • NPI 1003136938
  Authorized official Same address or phone

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402876800000",
    "number": "1699189837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "983 AIRPORT RD",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325412835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "983 AIRPORT RD",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325412835",
            "telephone_number": "850-460-2929",
            "fax_number": "850-460-2952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD COAST ADULT DAY CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-16",
        "last_updated": "2014-06-16",
        "status": "A",
        "authorized_official_last_name": "GROSSKOPF",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "850-417-6308",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "FL",
            "license": "9277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Edelman, PA
• Autum Marie Edgerton, SLP
• Elite Vein Center of Destin LLC (The Vein Center of Florida)
• Elizabeth S. Roberson, M.D., P.a.
• Zandalee Elliott, BCABA
• Emerald Coast Counseling Center PA (Destin Counseling Center)
• Emerald Coast Cryotherapy, Performance & Recovery, LLC
• Emerald Coast Emergency Physicians LLP
• Emerald Coast Infectious Diseases Medical Group, P.a. (American Medical Group)
• Emerald Coast Physical Therapy LLC

• Respite Care in Destin, FL
• Providers in Destin, FL by specialty
• Respite Care in Florida

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