Healthcare Provider Details
I. General information
NPI: 1902650583
Provider Name (Legal Business Name): CALMUNITY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/11/2024
Last Update Date: 04/13/2024
Certification Date: 04/13/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4112 MOBILE HWY STE B
PENSACOLA FL
32506-3507
US
IV. Provider business mailing address
6705 CHELSEA ST
PENSACOLA FL
32506-4551
US
V. Phone/Fax
- Phone: 850-741-8965
- Fax:
- Phone: 850-741-8965
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 385H00000X |
| Taxonomy | Respite Care |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DANIEL
FIGGERS
Title or Position: PRESIDENT
Credential:
Phone: 850-741-8965