NPIMap

Organization Active NPI

Interim Healthcare of NW FL Inc

  • Home Health Agency
  • Fort Walton Beach, FL
National Provider Identifier
1811058266
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
INTERIM HEALTHCARE OF NW FL INC
Practice address
339 Racetrack Rd NW
Suite 16
Fort Walton Beach, FL 32547-1538
Phone
(850) 243-1152
Fax
(850) 862-8548
NPI assigned
Dec 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. William Reak, RN
Title
Administrator
Phone
(850) 243-1152

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X FL Primary

Addresses

Primary practice location

339 Racetrack Rd NW
Suite 16
Fort Walton Beach, FL 32547-1538

Mailing address

339 Racetrack Rd NW
Suite 16
Fort Walton Beach, FL 32547-1538
Phone (850) 243-1152

Other names 1

  • Interim Healthcare Ft Walton Beach Other name

National Provider Directory

National Provider Directory
Tax ID family
Interim Healthcare of NW FL Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

339 Racetrack Rd NW
Ste 16
Fort Walton Beach, FL 32547
Phone (850) 243-1152

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811058266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 RACETRACK RD NW",
            "address_2": "SUITE 16",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471538",
            "telephone_number": "850-243-1152",
            "fax_number": "850-862-8548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 RACETRACK RD NW",
            "address_2": "SUITE 16",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471538",
            "telephone_number": "850-243-1152",
            "fax_number": "850-862-8548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERIM HEALTHCARE OF NW FL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REAK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "850-243-1152",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interim Healthcare Ft Walton Beach",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Walton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.