Emerald Coast Personal Care

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

EMERALD COAST PERSONAL CARE

Doing business as

Home Instead Senior Care

Practice address

922 Marwalt Dr
Suite 203
Fort Walton Beach, FL 32547

Phone

(850) 243-6464

Fax

(850) 862-9941

NPI assigned

Aug 15, 2013

Last updated

Aug 29, 2024By 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

Todd Harrell

Title

Owner/President

Phone

(850) 243-6464

Specialties & licenses 2

Addresses

Other names 1

• Home Instead Senior Care Doing business as

Locations

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

{
    "created_epoch": "1376524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724889600000",
    "number": "1740613561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 MARWALT DR",
            "address_2": "SUITE 203",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "32547",
            "telephone_number": "850-243-6464",
            "fax_number": "850-862-9941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 MARWALT DR",
            "address_2": "SUITE 203",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "32547",
            "telephone_number": "850-243-6464",
            "fax_number": "850-862-9941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD COAST PERSONAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-15",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A",
        "authorized_official_last_name": "HARRELL",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "850-243-6464"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299992602",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Instead Senior Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emerald Coast Infectious Diseases Medical Group, P.a. (American Medical Group)
• Emerald Coast Infectious Diseases Medical Group, PA (Synergy Specialty Pharmacy)
• Emerald Coast Mood & Memory PA
• Emerald Coast Oncology and Hematology Assoc., P.a.
• Emerald Coast Pathology Associates PA
• Emerald Coast Psychotherapy, LLC
• Emerald Coast Rehabilitation Center, LLC (Emerald Coast Center)
• Emerald Coast Speech Therapy LLC
• Emerald Coast Sports Medicine and Orthopaedics, P.a.
• Emerald Coast Support Coordinators, Inc.

• In Home Supportive Care Agency in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.