NPIMap

Organization Active NPI

Southeast Association of Healthcare Providers Inc

Doing business as Return to Health Medical Home and Wellness Center

  • Chiropractor
  • Pensacola, FL
National Provider Identifier
1942344106
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH6343 Issued in FL
Legal business name
SOUTHEAST ASSOCIATION OF HEALTHCARE PROVIDERS INC
Doing business as
Return to Health Medical Home and Wellness Center
Practice address
5330 N Davis Hwy
Pensacola, FL 32503-2006
Phone
(850) 477-8874
Fax
(850) 477-8865
NPI assigned
Feb 19, 2007
Last updated
Feb 20, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Authorized official

Name
Philip E. Renfroe, D.C.NPI 1831283654
Title
President
Phone
(850) 477-8874

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X
Chiropractor 111N00000X CH6348 FL
Chiropractor 111N00000X CH8124 FL
Chiropractor 111N00000X CH6343 FL Primary
General Practice Physician 208D00000X ME92143 FL
Physical Therapist 225100000X PT4977 FL

Addresses

Primary practice location

5330 N Davis Hwy
Pensacola, FL 32503-2006

Mailing address

5330 N Davis Hwy
Pensacola, FL 32503-2006
Phone (850) 477-8874

Other identifiers 1

IdentifierTypeStateIssuer
99322OtherFLBCBS GROUP NO.

Other names 1

  • Return to Health Medical Home and Wellness Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071115000381 FL Part B Supplier - Clinic/Group Practice 4789772302 Receives reassigned benefits from 7 practitioners
Practice locations: Milton, FL; Pensacola, FL

National Provider Directory

National Provider Directory

Locations

6341 Highway 90
Milton, FL 32570
Phone (850) 981-0320

511 Phyllis St
Pensacola, FL 32503
Phone (850) 477-8874

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582156800000",
    "number": "1942344106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5330 N DAVIS HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032006",
            "telephone_number": "850-477-8874",
            "fax_number": "850-477-8865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5330 N DAVIS HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032006",
            "telephone_number": "850-477-8874",
            "fax_number": "850-477-8865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST ASSOCIATION OF HEALTHCARE PROVIDERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A",
        "authorized_official_last_name": "RENFROE",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-477-8874",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH6348",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8124",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH6343",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME92143",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT4977",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NO.",
            "identifier": "99322",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Return to Health Medical Home and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Return to Health Medical Home and Wellness Center",
            "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 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.