Organization Active NPI

Visionary Living Inc

  • Assisted Living Facility (Mental Illness)
  • Pensacola, FL
National Provider Identifier
1881018232
Registry record updated Feb 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
License
AL6029 Issued in FL
Legal business name
VISIONARY LIVING INC
Practice address
923 N 77TH Ave
Pensacola, FL 32506-3704
Phone
(850) 261-0713
Fax
(850) 733-9910
NPI assigned
Feb 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2014

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

Authorized official

Name
Mr. John Eric Nelson, CPA
Title
President
Phone
(850) 261-0713

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X AL6029 FL Primary

Addresses

Primary practice location

923 N 77TH Ave
Pensacola, FL 32506-3704

Mailing address

PO Box 36213
Pensacola, FL 32516-6213
Phone (850) 261-0713

Other names 1

  • Visionary Living Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1391558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391558400000",
    "number": "1881018232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36213",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325166213",
            "telephone_number": "850-261-0713",
            "fax_number": "850-733-9910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 N 77TH AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325063704",
            "telephone_number": "850-261-0713",
            "fax_number": "850-733-9910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISIONARY LIVING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-05",
        "last_updated": "2014-02-05",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-261-0713",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "AL6029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visionary Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; 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.