Emerald Coast Home Care, Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

30211753 Issued in FL

Legal business name

EMERALD COAST HOME CARE, INC.

Practice address

2101 Northside Dr Unit 304
Panama City, FL 32405-3686

Phone

(850) 215-3300

NPI assigned

Jan 15, 2015

Organization subpart

No

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

Authorized official

Name

Brian Mack

Title

President

Phone

(850) 215-3300

Specialties & licenses 2

Addresses

Other names 1

• Visiting Angels of the Emerald Coast Doing business as

Locations

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

{
    "created_epoch": "1421280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756166400000",
    "number": "1841689718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 NORTHSIDE DR UNIT 304",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324053686",
            "telephone_number": "850-215-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 NORTHSIDE DR UNIT 304",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324053686",
            "telephone_number": "850-215-3300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 11th Ave Ste H3",
            "address_purpose": "LOCATION",
            "city": "Shalimar",
            "state": "FL",
            "postal_code": "325791474",
            "country_code": "US",
            "telephone_number": "850-424-3363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EMERALD COAST HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-15",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-215-3300"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "30211753",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visiting Angels of the Emerald Coast",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Visiting Angels of the Emerald Coast",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tarek Hassan Elzawahry, DMD
• Emerald Bay Surgical Associates LLC
• Emerald Coast Behavioral Hospital LLC
• Emerald Coast Behavioral Hospital, LLC
• Emerald Coast Eye Care
• Emerald Coast Hospitalist Inc
• Emerald Coast Infectious Diseases Medical Group, P.a.
• Emerald Coast Internal Medicine and Geriatrics LLC
• Emerald Coast Medical Transport, Inc.
• Emerald Coast OBGYN, Inc

• In Home Supportive Care Agency in Panama City, FL
• Providers in Panama City, 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 26, 2025; 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.