Emerald Coast Companion Services, LLC
Clinic/Center, Developmental Disabilities in Pensacola, FL. Organization (NPI-2).
NPI number1982126710
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1982126710
- Entity type
- Organization (NPI-2)
- Legal business name
- Emerald Coast Companion Services, LLC
- Organization subpart
- No
- Enumeration date
- Jul 13, 2017
- Last updated
- Jul 21, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD1600X | Clinic/Center, Developmental Disabilities | – | – | Yes |
Practice location
7120 Heather Oaks DrPensacola, FL 32506-3893
Phone 209-688-8701
Mailing address
7120 Heather Oaks DrPensacola, FL 32506-3893
Phone 209-688-8701
Other practice locations
917 Montclair Rd
Pensacola, FL 32505-2749
Pensacola, FL 32505-2749
Phone 850-465-3804
Authorized official
Estelletta Washington
Owner
2096888701
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