Healthcare Provider Details

I. General information

NPI: 1528566262
Provider Name (Legal Business Name): NHC-OP LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2018
Last Update Date: 05/11/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1830 LISENBY AVE STE B
PANAMA CITY FL
32405-3713
US

IV. Provider business mailing address

PO BOX 15369
PANAMA CITY FL
32406-5369
US

V. Phone/Fax

Practice location:
  • Phone: 850-769-5256
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ROBERT MICHAEL USSERY
Title or Position: PRESIDENT OF CHAIN HOME OFFICE
Credential:
Phone: 615-890-2020