EARLY INTERVENTION SPECIALISTS OF NORTHWEST FLORIDA, LLC
NPI 1063753572
Early Intervention Provider Agency in Malone, FL

Active since March 07, 2013
5170 12TH AVE, MALONE, FL 32445(850) 209-5880(866) 521-4620 Get Directions Write a Review

NPPES record last updated: March 7, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Early Intervention Provider Agency

About EARLY INTERVENTION SPECIALISTS OF NORTHWEST FLORIDA, LLC

This page provides the complete NPI Profile along with additional information for Early Intervention Specialists Of Northwest Florida, Llc, a provider established in Malone, Florida operating as a Early Intervention Provider Agency. The healthcare provider is registered in the NPI registry with number 1063753572 assigned on March 2013. The practitioner's primary taxonomy code is 252Y00000X with license number RN3076242 (FL). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Marcia S Thompson Rn (Owner)

NPI
1063753572 Verify this NPI
Provider Name
EARLY INTERVENTION SPECIALISTS OF NORTHWEST FLORIDA, LLC
Entity Type
Organization
Location Address
5170 12TH AVE MALONE, FL 32445
Location Phone
(850) 209-5880
Location Fax
(866) 521-4620
Mailing Address
5170 12TH AVE MALONE, FL 32445
Mailing Phone
(850) 209-5880
Mailing Fax
(866) 521-4620
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-07-2013
Last Update Date
03-07-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Early Intervention Provider Agency

Taxonomy Code
252Y00000X
Type
Agencies
License No.
RN3076242
License State
FL
Taxonomy Description
Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children's needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MARCIA S THOMPSON RN

Authorized Official Title
OWNER
Authorized Official Phone
(850) 209-5880

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
810941900MEDICAID (05)FL 

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Registered Nurse (Community Health)
5170 12TH AVE
MALONE, FL 32445

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063753572, enumerated as an "organization" on March 07, 2013.

The provider is located at 5170 12TH AVE MALONE, FL 32445 and the phone number is (850) 209-5880.

Early Intervention Provider Agency with taxonomy code 252Y00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.