MEDICARE: NHC-OP LP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0400X	Rehabilitation Clinic/Center
2	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1528566262
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NHC-OP LP

Provider Business Mailing Address
First Line	:	PO BOX 15369
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32406-5369
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1830 LISENBY AVE STE B
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32405-3713
Country	:	US
Telephone Number	:	850-769-5256
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT OF CHAIN HOME OFFICE
Name	:	ROBERT MICHAEL USSERY
Credential	:
Telephone Number	:	615-890-2020

Provider Enumeration Date	:	01/29/2018
Last Update Date	:	05/11/2018

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