NPIMap

Organization Active NPI

Interim Healthcare of NW FL Inc

  • Home Health Agency
  • Marianna, FL
National Provider Identifier
1982750683
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
22024096 Issued in FL
Legal business name
INTERIM HEALTHCARE OF NW FL INC
Practice address
4306 5TH Ave
Marianna, FL 32446-2151
Phone
(850) 462-2770
Fax
(850) 462-4941
NPI assigned
Jan 26, 2007
Last updated
Apr 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

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

Authorized official

Name
Mr. Robert G Gaff
Title
Administrator
Phone
(850) 482-2770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 22024096 FL Primary

Addresses

Primary practice location

4306 5TH Ave
Marianna, FL 32446-2151

Mailing address

4306 5TH Ave
Marianna, FL 32446-2151
Phone (850) 462-2770

Other identifiers 1

IdentifierTypeStateIssuer
650883902MedicaidFL

Other names 1

  • Interim Healthcare Marianna Other name

National Provider Directory

National Provider Directory
Tax ID family
Interim Healthcare of NW FL Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4306 5th Ave
Marianna, FL 32446
Phone (850) 462-2770

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1982750683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4306 5TH AVE",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324462151",
            "telephone_number": "850-462-2770",
            "fax_number": "850-462-4941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4306 5TH AVE",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324462151",
            "telephone_number": "850-462-2770",
            "fax_number": "850-462-4941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERIM HEALTHCARE OF NW FL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "GAFF",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "850-482-2770",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "22024096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "650883902",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interim Healthcare Marianna",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Marianna, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; 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.