Organization Active NPI

Destin Housecalls, LLC

  • Clinic/Center
  • Destin, FL
National Provider Identifier
1861558686
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
DESTIN HOUSECALLS, LLC
Practice address
622 Mountain Dr
Destin, FL 32541-2429
Phone
(850) 830-3012
NPI assigned
Dec 28, 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
Richard Chern, MD
Title
MGR
Phone
(850) 830-3012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

622 Mountain Dr
Destin, FL 32541-2429

Mailing address

622 Mountain Dr
Destin, FL 32541-2429
Phone (850) 830-3012

National Provider Directory

National Provider Directory
Tax ID family
Community Care Services456 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 17

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861558686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 MOUNTAIN DR",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325412429",
            "telephone_number": "850-830-3012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 MOUNTAIN DR",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325412429",
            "telephone_number": "850-830-3012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTIN HOUSECALLS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHERN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "850-830-3012",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Destin, 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.