Active NPI
Interim Healthcare of NW FL Inc
- Home Health Agency
- Panama City, FL
National Provider Identifier
1871654210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 21548096
- Legal business name
- INTERIM HEALTHCARE OF NW FL INC
- Practice address
- 2679 Jenks Ave
Panama City, FL 32405-4351 - Phone
- (850) 747-0080
- Fax
- (850) 747-0920
- NPI assigned
- Dec 12, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Cynthia Anne Lavoie
- Title
- Administrator
- Phone
- (850) 747-0080
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 21548096 | FL | Primary |
Addresses
Primary practice location
2679 Jenks Ave
Panama City, FL 32405-4351
Mailing address
2679 Jenks Ave
Panama City, FL 32405-4351
Phone (850) 747-0080
Other names 1
- Interim Healthcare Panama City
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0876317 | Interim Healthcare | Certificate of waiver | Sep 15, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Interim Healthcare of NW FL Inc
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Tallahassee, FL
- NPI 1760454342
-
- Home Health Agency
- Fort Walton Beach, FL
- NPI 1811058266
-
- Home Health Agency
- Pensacola, FL
- NPI 1861553299
-
- Home Health Agency
- Marianna, FL
- NPI 1982750683
Locations
2679 Jenks Ave
Panama City, FL 32405
Phone (850) 747-0080
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": "1871654210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2679 JENKS AVE",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324054351",
"telephone_number": "850-747-0080",
"fax_number": "850-747-0920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2679 JENKS AVE",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324054351",
"telephone_number": "850-747-0080",
"fax_number": "850-747-0920"
}
],
"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": "LAVOIE",
"authorized_official_first_name": "CYNTHIA",
"authorized_official_middle_name": "ANNE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "850-747-0080",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "FL",
"license": "21548096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Interim Healthcare Panama City",
"code": "5",
"type": "Other Name"
}
]
}
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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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.