ACTS RETIREMENT-LIFE COMMUNITIES (NPI# 1417292251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417292251 |
| Entity Type | Organization |
| Organization Name | ACTS RETIREMENT-LIFE COMMUNITIES |
| Other Organization Name | AZALEA TRACE HOME HEALTH SERVICES |
| Practice Address |
10100 Hillview Dr Pensacola FL 32514-5436 |
| Practice Telephone | 8508574975 |
| Practice Fax Number | 8504740558 |
| Mailing Telephone | 8508574975 |
| Mailing Fax Number | 8504740558 |
| Enumeration Date | 2012-12-05 |
| Last Update Date | 2013-10-08 |
| Authorized Official Name | MS. JEANINE MELVIN (ADMINISTRATOR/CEO) |
| Authorized Official Telephone | 8508574975 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | 299992943 | FL | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | AGENCY FOR HEALTH CARE ADMINISTRATION | 299992943 | 01 |
| Other Name | Type Code |
|---|---|
| Azalea Trace Home Health Services | Doing Business As Name - Organization |
| Street Address |
10100 HILLVIEW DR |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32514-5436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700094554 | Katherine Jakischa | Speech-Language Pathologist | 10100 Hillview Dr, Pensacola, FL 32514-5436 | 2007-05-17 |
| 1538403936 | Ashley Scortia | Occupational Therapist | 10100 Hillview Dr, Azalea Trace, Pensacola, FL 32514-5436 | 2012-11-26 |
| 1013273689 | Eileen S Maietta | Occupational Therapist | 10100 Hillview Dr, Pensacola, FL 32514-5436 | 2012-04-07 |
| 1083923601 | John James Vlass IIi | Physical Therapist | 10100 Hillview Dr, Pensacola, FL 32514-5436 | 2010-09-30 |
| 1467774687 | Sara Elisabeth Jacobi | Physical Therapy Assistant | 10100 Hillview Dr, Pensacola, FL 32514-5436 | 2010-02-16 |
| 1659693786 | Jessica Ravin Brooks | Occupational Therapist | 10100 Hillview Dr, Pensacola, FL 32514-5436 | 2010-02-16 |
| 1689905275 | Jeremy Ponce De Leon Orcino | Physical Therapist | 10100 Hillview Dr, Pensacola, FL 32514-5436 | 2010-01-20 |
| 1114254752 | Chandis Scott | Speech-Language Pathologist | 10100 Hillview Dr, Pensacola, FL 32514-5436 | 2009-11-03 |
| 1265768865 | Gensis Rehab Services | Skilled Nursing Facility | 10100 Hillview Dr, Pensacola, FL 32514-5436 | 2009-11-02 |
| 1033341714 | Cherael Crenshaw | Occupational Therapist | 10100 Hillview Dr, Pensacola, FL 32514-5436 | 2009-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568920643 | Cameron Rae Mackey | Student in an Organized Health Care Education/Training Program | 9091 Aiway Dr, Apt 622, Pensacola, FL 32514 | 2019-03-07 |
| 1083182612 | B & B of Pensacola LLC | Home Health | 2024 E Olive Rd, Pensacola, FL 32514 | 2018-11-13 |
| 1902398423 | Chana Levy | Developmental Therapist | 10080 Hillview Dr # 387b, Pensacola, FL 32514 | 2018-05-31 |
| 1629407663 | James Daniel Langston | Registered Nurse | 8383 North Davie Highway, Pensacola, FL 32514 | 2013-11-08 |
| 1174956197 | Valerie Kuloba | Pharmacist | 9251 University Parkway, Pensacola, FL 32514 | 2013-08-13 |
| 1548550924 | Pamela Lynn Trammel | Nurse Practitioner | 8383 North Davis Hywy, West Florida Hospital, Pensacola, FL 32514 | 2011-04-19 |
| 1659609378 | Michael Smith | Physical Therapy Assistant | 10100 Hillveiw Dr., Pensacola, FL 32514 | 2009-11-19 |
| 1154582906 | Karen Buchanan Bailey | Dentist | 2322 Copter Road, Pensacola, FL 32514 | 2008-06-24 |
| 1811181985 | Sandra Paquingan Kloman | Registered Nurse | 9400 University Parkway #10c, Medical Professional Agency, Pensacola, FL 32514 | 2007-08-31 |
| 1083826523 | Renfroe Spinal Center LLC | Chiropractor | 1421 East Nine Mile Rd, Pensacola, FL 32514 | 2007-05-04 |
| Find all providers in zip 32514 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410665 | Nichelle Yvette Evans | In Home Supportive Care | 3902 N 9th Ave, Pensacola, FL 32503-2892 | 2020-09-01 |
| 1972116655 | Kamal Mohammad | In Home Supportive Care | 6233 Tributary St, Pensacola, FL 32526-1290 | 2020-08-24 |
| 1760033450 | Rahco Pensacola LLC. | In Home Supportive Care | 4455 Bayou Blvd Ste B, Pensacola, FL 32503-1928 | 2019-09-24 |
| 1194220269 | Debbie Payne | In Home Supportive Care | 8800 University Pkwy Ste C1, Pensacola, FL 32514-4928 | 2018-03-29 |
| 1710495171 | Veterans National Homecare Inc | In Home Supportive Care | 1517 W Garden St, Pensacola, FL 32502-4508 | 2018-01-18 |
| 1114464690 | Lending A Helping Hand With Zandra, LLC | In Home Supportive Care | 444 El Matador Trl, Pensacola, FL 32506-6008 | 2017-01-23 |
| 1497206403 | Aloha Care, Inc. | In Home Supportive Care | 817 N Palafox St, Pensacola, FL 32501-3113 | 2016-10-14 |
| 1982039392 | Rizzen Support Services | In Home Supportive Care | 1252 W Hope Dr, Pensacola, FL 32534-4227 | 2013-09-05 |
| 1124468186 | D M & D Coastal Investments LLC | In Home Supportive Care | 1497 A Creighton Road, Pensacola, FL 32504 | 2013-07-04 |
| 1386901841 | Sonshine Companion Care, LLC | In Home Supportive Care | 1010 N 12th Ave Ste 233, Pensacola, FL 32501-3380 | 2012-04-20 |
| Find all providers in PENSACOLA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.