NPIMap

Organization Active NPI

Interim Healthcare of NW FL Inc

  • Home Health Agency
  • Pensacola, FL
National Provider Identifier
1861553299
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
20570096 Issued in FL
Legal business name
INTERIM HEALTHCARE OF NW FL INC
Practice address
1331 Creighton Rd
Suite B
Pensacola, FL 32504-9404
Phone
(850) 474-0767
Fax
(850) 474-0763
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. Robert Gaff
Title
Owner Operator
Phone
(850) 422-2044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 20570096 FL Primary

Addresses

Primary practice location

1331 Creighton Rd
Suite B
Pensacola, FL 32504-9404

Mailing address

1331 Creighton Rd
Suite B
Pensacola, FL 32504-9404
Phone (850) 474-0767

Other names 1

  • Interim Healthcare Pensacola Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Home health agency certification: CCN 10K019

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
INTERIM HEALTHCARE OF NORTHWEST FLORIDA INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 10, 1993
Last certification
Oct 6, 2022
Ownership / control type
Proprietary
Facility address
1331 Creighton Rd Ste a
Pensacola, FL 32504

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

1331 Creighton Rd
Ste B
Pensacola, FL 32504
Phone (850) 474-0767

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": "1861553299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 CREIGHTON RD",
            "address_2": "SUITE B",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325049404",
            "telephone_number": "850-474-0767",
            "fax_number": "850-474-0763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 CREIGHTON RD",
            "address_2": "SUITE B",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325049404",
            "telephone_number": "850-474-0767",
            "fax_number": "850-474-0763"
        }
    ],
    "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": "GAFF",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER OPERATOR",
        "authorized_official_telephone_number": "850-422-2044",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "20570096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interim Healthcare Pensacola",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.