INTERIM HEALTHCARE OF NW FL INC (NPI# 1811058266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811058266 |
| Entity Type | Organization |
| Organization Name | INTERIM HEALTHCARE OF NW FL INC |
| Other Organization Name | INTERIM HEALTHCARE FT WALTON BEACH |
| Practice Address |
339 Racetrack Rd Nw Suite 16 Fort Walton Beach FL 32547-1538 |
| Practice Telephone | 8502431152 |
| Practice Fax Number | 8508628548 |
| Mailing Telephone | 8502431152 |
| Mailing Fax Number | 8508628548 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. WILLIAM REAK (ADMINISTRATOR) |
| Authorized Official Telephone | 8502431152 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | FL | Agencies |
| Other Name | Type Code |
|---|---|
| Interim Healthcare Ft Walton Beach | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982750683 | Interim Healthcare of Nw Fl Inc | Home Health | 4306 5th Ave, Marianna, FL 32446-2151 | 2007-01-26 |
| 1871654210 | Interim Healthcare of Nw Fl Inc | Home Health | 2679 Jenks Ave, Panama City, FL 32405-4351 | 2006-12-12 |
| 1861553299 | Interim Healthcare of Nw Fl Inc | Home Health | 1331 Creighton Rd, Suite B, Pensacola, FL 32504-9404 | 2006-12-12 |
| 1760454342 | Interim Healthcare of Nw Fl Inc | Home Health | 1962 Village Green Way, Suite B, Tallahassee, FL 32308-3800 | 2006-02-07 |
| Street Address |
339 RACETRACK RD NW SUITE 16 |
| City | FORT WALTON BEACH |
| State | FL |
| Zip Code | 32547-1538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992255418 | Hearinglife Usa Inc | Hearing Aid Equipment | 339 Racetrack Rd Nw, Ste 20, Fort Walton Beach, FL 32547-1538 | 2016-10-07 |
| 1689818742 | George Dosdos Sacla | Massage Therapist | 339 Racetrack Rd Nw, Suite 12, Fort Walton Beach, FL 32547-1538 | 2009-04-20 |
| 1598891426 | Emerald Coast Hearing Associates | Audiologist | 339 Racetrack Rd Nw, Suite 20, Fort Walton Beach, FL 32547-1538 | 2007-02-26 |
| 1669526315 | William Michael Escoffery | Family Medicine | 339 Racetrack Rd Nw, Suite 2, Fort Walton Beach, FL 32547-1538 | 2007-01-22 |
| 1457369647 | Peter R. Devuyst | Physician Assistant | 339 Racetrack Rd Nw, Suite 17, Fort Walton Beach, FL 32547-1538 | 2006-08-03 |
| 1578589230 | Mary Forsyth Vasiloff | Audiologist | 339 Racetrack Rd Nw, Suite 20, Fort Walton Beach, FL 32547-1538 | 2006-07-15 |
| 1326018391 | Leo C Chen | Orthopaedic Surgery | 339 Racetrack Rd Nw, Suite 12, Fort Walton Beach, FL 32547-1538 | 2006-01-24 |
| 1972583326 | Emerald Coast Sports Medicine and Orthopaedics, P.a. | Orthopaedic Surgery | 339 Racetrack Rd Nw, Suite 12, Fort Walton Beach, FL 32547-1538 | 2006-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255944955 | Theresa Ann Morvay | Behavior Technician | 419 Racetrack Rd Ne, Fort Walton Beach, FL 32547 | 2020-08-24 |
| 1588295422 | Emily Ann Glossop | Nurse Practitioner | 930 Mar Walt Drive C, Fort Walton Beach, FL 32547 | 2020-01-29 |
| 1225669443 | Elizabeth Rogers Nagengast | Physician Assistant | 930 Mar Walt Drive, Unit C, Fort Walton Beach, FL 32547 | 2020-01-27 |
| 1497254791 | Carmen Alston | Nurse Practitioner | 930 Mar Walt Dr C, Fort Walton Beach, FL 32547 | 2018-02-02 |
| 1871004960 | Center for Neuropsychological Services Cns | Clinical Neuropsychologist | 1817 Lewis Turner Blvd, Fort Walton Beach, FL 32547 | 2017-10-17 |
| 1194235648 | Robin Wray | Speech-Language Pathologist | 930 Mar Walt Dr D, Fort Walton Beach, FL 32547 | 2017-10-10 |
| 1285007989 | Dynamic Pain & Wellness Pllc | Pain Medicine | 930 Marwalt Drive, Suite B and C, Fort Walton Beach, FL 32547 | 2015-11-04 |
| 1013392810 | Terry Abbott | Social Worker | 648 Overbrook Dr, Fort Walton Beach, FL 32547 | 2015-07-22 |
| 1083024673 | Emily Lohr | Physical Therapy Assistant | 2000 Principle Ln, Ft. Walton Beach, FL 32547 | 2014-05-05 |
| 1831526102 | Laurie Ann Schweppe | Nurse Practitioner | 1005 Mar Walt Drivve, Snf Hospitalist Department, Fort Walton Beach, FL 32547 | 2013-10-02 |
| Find all providers in zip 32547 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740613561 | Emerald Coast Personal Care | Home Health | 722 Beal Pkwy Nw Ste H, Fort Walton Beach, FL 32547-3049 | 2013-08-15 |
| 1891080867 | Okaloosa County Council On Aging | Home Health | 207 Hospital Drive, Fort Walton Beach, FL 32548 | 2011-06-17 |
| 1518991215 | Gentiva Health Services (certified), Inc. | Home Health | 340 Beal Pkwy Nw, Suite A, Fort Walton Beach, FL 32548-3924 | 2006-07-10 |
| 1700837572 | Careservices of The Emerald Coast | Home Health | 11 Racetrack Rd Ne, Suite # H-3, Fort Walton Beach, FL 32547-1882 | 2006-05-15 |
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|---|---|---|---|---|
| 1326649252 | The Bla Conglomeration LLC | Home Health | 560 Village Blvd Ste 120, West Palm Beach, FL 33409-1963 | 2020-11-06 |
| 1003417932 | Allcare Home Health LLC | Home Health | 2200 N Commerce Pkwy Ste 255, Weston, FL 33326-3258 | 2020-11-06 |
| 1396346383 | Happy At Home Healthcare, Inc. | Home Health | 1104 S Powerline Rd Ste 8, Pompano Beach, FL 33069-4310 | 2020-11-05 |
| 1740881986 | Healing Hands Home Health | Home Health | 6611 Us Highway 19 Ste 204, New Port Richey, FL 34652-1732 | 2020-11-04 |
| 1215538848 | Tender Care Med Group Corp | Home Health | 373 E 1st Ave, Hialeah, FL 33010-4807 | 2020-11-02 |
| 1447850185 | Latoya Butler | Home Health | 5710 Lenox Ave Apt 121, Jacksonville, FL 32205-6383 | 2020-10-30 |
| 1871193748 | Cherrish M Jackson | Home Health | 1330 Treasure Key Ct, Tampa, FL 33612-8819 | 2020-10-29 |
| 1588264519 | Kendra Renea Chambers | Home Health | 78 Sims Rd, Quincy, FL 32352-6431 | 2020-10-28 |
| 1366041899 | Tri-city Adult Day Care, Inc. | Home Health | 827 Vanderbilt Dr, Eustis, FL 32726-5251 | 2020-10-26 |
| 1841899333 | All In Homecare LLC | Home Health | 150 3rd St Sw Ste 205, Winter Haven, FL 33880-2907 | 2020-10-26 |
| Find all providers with the same taxonomy | ||||
| City | FORT WALTON BEACH |
| Zip Code | 32547 |
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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.