Healthcare Provider Details

I. General information

NPI: 1366469157
Provider Name (Legal Business Name): NHC-OP LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2006
Last Update Date: 06/05/2024
Certification Date: 06/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1962 PAT THOMAS PKWY
QUINCY FL
32351-8785
US

IV. Provider business mailing address

1962 PAT THOMAS PKWY
QUINCY FL
32351-8785
US

V. Phone/Fax

Practice location:
  • Phone: 850-627-6374
  • Fax:
Mailing address:
  • Phone: 850-627-6374
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number21088096
License Number StateFL

VIII. Authorized Official

Name: ROBERT MICHAEL USSERY
Title or Position: SVP
Credential:
Phone: 615-890-2020