Healthcare Provider Details

I. General information

NPI: 1568323830
Provider Name (Legal Business Name): EMPATH SIGNATURE HEALTH AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2025
Last Update Date: 07/12/2026
Certification Date: 07/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

314 GAWAIN LN
TALLAHASSEE FL
32301-3334
US

IV. Provider business mailing address

314 GAWAIN LN
TALLAHASSEE FL
32301-3334
US

V. Phone/Fax

Practice location:
  • Phone: 904-400-1948
  • Fax:
Mailing address:
  • Phone: 904-400-1948
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number StateNULL

VIII. Authorized Official

Name: BARBARA EMANUEL
Title or Position: CNO
Credential:
Phone: 850-755-7083