NPIMap

Organization Active NPI

Peoples Hospice and Palliative Care of Florida LLC

  • Community Based Hospice Care Agency
  • Pensacola, FL
National Provider Identifier
1992436026
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
PEOPLES HOSPICE AND PALLIATIVE CARE OF FLORIDA LLC
Practice address
213 E Wright St Ste B
Pensacola, FL 32501-4917
Phone
(850) 696-0911
Fax
(850) 475-0690
NPI assigned
Jun 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Authorized official

Name
Ms. Deborah L Mazzola
Title
VP, Finance
Phone
(850) 696-0911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

213 E Wright St Ste B
Pensacola, FL 32501-4917

Mailing address

213 E Wright St
Pensacola, FL 32501-4917
Phone (850) 696-0911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230412002940 FL Part A Provider - Hospice 9638544208 Practice locations: Pensacola, FL
O20240827001210 FL Part B Supplier - Clinic/Group Practice 9638544208 Receives reassigned benefits from 3 practitioners
Practice locations: Pensacola, FL

Hospice certification: CCN 101568

Legal name
PEOPLES HOSPICE AND PALLIATIVE CARE OF FLORIDA LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
May 2, 2023
Last certification
Apr 27, 2023
Organization structure
LLCProprietary
Incorporated
Aug 17, 2021 in FL
Enrollment address
213 E Wright St
Ste B
Pensacola, FL 32501

Care Compare: Hospice

Medicare Care Compare
Listed as
Peoples Hospice and Palliative Care of Florida LLCCCN 101568
Certified
May 2, 2023
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2267930Peoples Hospice and Palliative Care of Florida LLC213 E Wright St, Ste B, Pensacola, FL 32501Certificate of waiverSep 1, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Peoples Health Services, LLC Organization, Pensacola, FL LLC, For-profit 5% Or Greater Direct Ownership Interest Jul 1, 2022 100%
Deborah Mazzola Individual W-2 Managing EmployeeDirector of Finance Jan 19, 2023
Operational/Managerial ControlDirector of Finance Jan 19, 2023
Pamela Campbell Individual W-2 Managing EmployeeAdministrator Oct 21, 2022 100%
Operational/Managerial ControlAdministrator Oct 21, 2022 100%
Timothy Buttell Individual 5% Or Greater Indirect Ownership Interest Jul 1, 2022 100%
Corporate OfficerCeo Jul 1, 2022 100%
Corporate DirectorCeo Jul 1, 2022 100%

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 7

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664409600000",
    "number": "1992436026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 E WRIGHT ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325014917",
            "telephone_number": "850-696-0911",
            "fax_number": "850-475-0690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 E WRIGHT ST STE B",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325014917",
            "telephone_number": "850-696-0911",
            "fax_number": "850-475-0690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEOPLES HOSPICE AND PALLIATIVE CARE OF FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-20",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A",
        "authorized_official_last_name": "MAZZOLA",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VP, FINANCE",
        "authorized_official_telephone_number": "850-696-0911",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.