Northwest Florida Healthcare, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HHA207700961 Issued in FL

Legal business name

NORTHWEST FLORIDA HEALTHCARE, INC.

Practice address

1360 Brickyard Rd
Chipley, FL 32428-6303

Phone

(850) 415-8103

Fax

(850) 638-3167

NPI assigned

Jun 2, 2005

Organization subpart

Yes

Parent organization

NORTHWEST FLORIDA HEALTHCARE, INC.As reported in NPPES

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

Authorized official

Name

Mr. Patrick A Schlenker

Title

President / Ceo

Phone

(850) 415-8103

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Northwest Florida Community Home Health Other name

Part of

Northwest Florida Healthcare Inc

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Northwest Florida Healthcare, Inc

  • Skilled Nursing Facility
  • Chipley, FL
  • NPI 1942367057

  Member Of

  NPD member

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

{
    "created_epoch": "1117670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330473600000",
    "number": "1952305237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 BRICKYARD RD",
            "city": "CHIPLEY",
            "state": "FL",
            "postal_code": "324286303",
            "telephone_number": "850-638-3395",
            "fax_number": "850-638-3167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 BRICKYARD RD",
            "city": "CHIPLEY",
            "state": "FL",
            "postal_code": "324286303",
            "telephone_number": "850-415-8103",
            "fax_number": "850-638-3167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST FLORIDA HEALTHCARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHWEST FLORIDA HEALTHCARE, INC.",
        "enumeration_date": "2005-06-02",
        "last_updated": "2012-02-29",
        "status": "A",
        "authorized_official_last_name": "SCHLENKER",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "850-415-8103",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "HHA207700961",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "HHA20766096",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "651050700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER ID",
            "identifier": "H3R",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Florida Community Home Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Northwest Florida Healthcare, Inc
• Northwest Florida Healthcare, Inc
• Northwest Florida Healthcare, Inc
• Northwest Florida Healthcare, Inc.
• Northwest Florida Healthcare, Inc.
• Northwest Florida Healthcare, Inc.
• Nuclear Medicine Imaging,Inc.
• One Way Counseling and Coaching, LLC
• P&G Medicine, LLC
• Pancare of Florida, Inc

• All providers in Chipley, FL
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; 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.