COMMUNITY EXPERIENCES LLC (NPI# 1639579568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639579568 |
| Entity Type | Organization |
| Organization Name | COMMUNITY EXPERIENCES LLC |
| Practice Address |
321 N Devillers St Suite 221 Pensacola FL 32502 |
| Mailing Address |
11107 Little Creek Ln Pensacola FL 32506-8262 |
| Practice Telephone | 8502618403 |
| Practice Fax Number | 8504588177 |
| Mailing Telephone | 8502618403 |
| Mailing Fax Number | 8504588177 |
| Enumeration Date | 2014-08-28 |
| Last Update Date | 2014-08-28 |
| Authorized Official Name | TRACY L CARREOLA (DIRECTOR/OWNER) |
| Authorized Official Telephone | 8502618403 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | FL | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 002217700 | 05 | |
| FL | 686104196 | 05 |
| Street Address |
321 N DEVILLERS ST SUITE 221 |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275199762 | Anita Kay Morris | Marriage & Family Therapist | 25 W Cedar St Ste 205, Pensacola, FL 32502 | 2019-05-10 |
| 1013409028 | Everydaydoctor Inc | Internal Medicine | 13 Palafox Pl Ste 200, Pensacola, FL 32502 | 2018-06-05 |
| 1780119115 | Felisha Palmer | Nurse's Aide | 619 W Gregory St Apt A, Pensacola, FL 32502 | 2017-04-24 |
| 1619428257 | Young Men's Christian Association of Northwest Florida, Inc. | Health Educator | 165 E.intendencia Street, Pensacola, FL 32502 | 2016-10-19 |
| 1972968386 | Lauren Reeves | Counselor | 435 E Zarragossa St, Pensacola, FL 32502 | 2015-12-30 |
| 1902202492 | Amabel Arquillano | Physical Therapist | 600 West Gregory Street, Pensacol, FL 32502 | 2014-11-10 |
| 1831523612 | Our Lady of Angels, St. Joseph Medical Clinic, Inc | Clinic/Center | 131 W. Intendencia St., Pensacola, FL 32502 | 2013-08-28 |
| 1295013266 | Sabrina Gail Evans | Family Medicine | 236 West Garden Street, Pensacola, FL 32502 | 2011-07-25 |
| 1356538771 | Optum Infusion Services 204, Inc. | Pharmacy | 201 N. Tarragona Street, Pensacola, FL 32502 | 2007-09-30 |
| 1730269200 | David E Lemay | Specialist | 100 S Baylen St Ste A, Pensacola, FL 32502 | 2006-10-17 |
| Find all providers in zip 32502 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851908925 | Phenomenal Love & Care Services, LLC | Home Health | 700 Armenia Dr Ste A, Pensacola, FL 32505-2804 | 2020-09-23 |
| 1841830585 | Mellissa Hale | Home Health | 2202 W Blount St, Pensacola, FL 32505-6410 | 2020-01-10 |
| 1295376994 | Family First Homecare of Pensacola | Home Health | 801 W Romana St Ste D, Pensacola, FL 32502-4628 | 2019-10-03 |
| 1649739723 | Optimal Home Care LLC | Home Health | 1149 Creighton Rd Ste 5, Pensacola, FL 32504-7071 | 2019-03-18 |
| 1083182612 | B & B of Pensacola LLC | Home Health | 2024 E Olive Rd, Pensacola, FL 32514 | 2018-11-13 |
| 1922595123 | Touch of Love Home Health Care LLC | Home Health | 139 E Burgess Rd Ste B, Pensacola, FL 32503 | 2018-04-13 |
| 1366959611 | Golden Arc Homecare Solutions Inc | Home Health | 1720 W Fairfield Dr Ste 320, Pensacola, FL 32501-1052 | 2018-01-09 |
| 1780197889 | Senior Premium Home Care, LLC | Home Health | 1550 Creighton Rd Ste 8, Pensacola, FL 32504-9401 | 2017-11-10 |
| 1417318825 | Marvin Houston | Home Health | 7699 Charter Oaks Dr, Pensacola, FL 32514-6277 | 2016-03-11 |
| 1447611264 | Embrace Home Care Service | Home Health | 296 Sunny Ln, Pensacola, FL 32514-3857 | 2016-03-08 |
| Find all providers in PENSACOLA | ||||
Please comment or provide details below to improve the information on COMMUNITY EXPERIENCES LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.