Organization Active NPI

Amikids Escambia Boy'S Base

  • Community/Behavioral Health Agency
  • Pensacola, FL
National Provider Identifier
1902246200
Registry record updated Jul 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
AMIKIDS ESCAMBIA BOY'S BASE
Practice address
Corry Station Corry FLD BLDG 3780
Pensacola, FL 32511-0001
Phone
(850) 453-7490
Fax
(850) 456-3749
NPI assigned
Jul 1, 2013
Organization subpart
Yes
Parent organization
AMIKIDS PENSACOLA INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 1, 2013

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

Authorized official

Name
Oliver Jones
Title
Executive Director
Phone
(850) 453-7490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X FL Primary

Addresses

Primary practice location

Corry Station Corry FLD BLDG 3780
Pensacola, FL 32511-0001

Mailing address

Corry Station Corry FLD BLDG 3780
Pensacola, FL 32511-0001
Phone (850) 453-7490

National Provider Directory

National Provider Directory
Part of
Amikids Escambia Boy'S Base

Locations

Corry Sta Corry Fld
Bldg 3780
Pensacola, FL 32511
Phone (850) 453-7490

NPI Registry JSON

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

{
    "created_epoch": "1372636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372636800000",
    "number": "1902246200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CORRY STATION CORRY FLD BLDG 3780",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325110001",
            "telephone_number": "850-453-7490",
            "fax_number": "850-456-3749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CORRY STATION CORRY FLD BLDG 3780",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325110001",
            "telephone_number": "850-453-7490",
            "fax_number": "850-456-3749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMIKIDS ESCAMBIA BOY'S BASE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMIKIDS PENSACOLA INC.",
        "enumeration_date": "2013-07-01",
        "last_updated": "2013-07-01",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "OLIVER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "850-453-7490"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 1, 2013; 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.