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HADASSAH HOME CARE LLC
NPI 1265143192
Technician - Attendant Care Provider in Mary Esther, FL

Active since December 12, 2022
124 E MIRACLE STRIP PKWY, MARY ESTHER, FL 32569(850) 601-9710(850) 710-9745 Get Directions Write a Review

NPPES record last updated: January 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 19, 2023, Jan 9, 2023, Dec 12, 2022 (3 updates tracked since 2022).

About Hadassah Home Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HADASSAH HOME CARE LLC (NPI 1265143192) is a healthcare organization registered as an attendant care provider in Mary Esther, Florida and active in the NPI registry since December 2022. The organization lists Leah Owens, Administrator, as its authorized official.

NPPES Registry Identity

NPI1265143192
Entity TypeOrganization
Primary Taxonomy3747A0650X
Legal Business NameHADASSAH HOME CARE LLC
Location Address124 E MIRACLE STRIP PKWYMary Esther, FL 32569-1988
Mailing Address24 Poulton Dr NwFort Walton Beach, FL 32548-4500 · (850) 601-9710 · Fax (850) 710-9745
Phone(850) 601-9710
Fax(850) 710-9745
Organization SubpartNo
Authorized OfficialLeah OwensAdministrator · (850) 582-6717
Enumeration DateDecember 12, 2022
Last NPPES UpdateJanuary 19, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2023
✔ NPI 1265143192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyTechnician · Attendant Care ProviderNursing Service Related Providers
Taxonomy Code3747A0650X
Definition
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
Also ListedHome HealthTaxonomy 251E00000X
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
124 E MIRACLE STRIP PKWY, Mary Esther, FL 32569
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Other Identifiers 1

Medicaid115725300FL

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MYKERIA LATRECE GREER
Behavior Technician
124 E MIRACLE STRIP PKWY
MARY ESTHER, FL 32569
Okaloosa County (252) 529-9259
BONNIE BUTCHER LMHC
Counselor (Mental Health)
124 E MIRACLE STRIP PKWY, SUITE 302
MARY ESTHER, FL 32569
Okaloosa County (850) 243-8086
JADYN SCAIFE
Behavior Technician
124 E MIRACLE STRIP PKWY
MARY ESTHER, FL 32569
Okaloosa County (850) 301-0438
VIVECA L DURANT-AMOS
Behavior Technician
124 E MIRACLE STRIP PKWY
MARY ESTHER, FL 32569
Okaloosa County (850) 301-0438
MRS. CARRIE PILENZA RBT
Behavior Technician
124 E MIRACLE STRIP PKWY
MARY ESTHER, FL 32569
Okaloosa County (850) 301-0438
JOANNA R. DAVIS, LMHC CAP
Counselor (Mental Health)
124 E MIRACLE STRIP PKWY, SUITE 602
MARY ESTHER, FL 32569
Okaloosa County (850) 243-7035
EMERALD COAST PSYCHIATRIC CARE PA
Psychiatry & Neurology (Psychiatry)
124 E MIRACLE STRIP PKWY, SUITE 602
MARY ESTHER, FL 32569
Okaloosa County (850) 244-0101
JACOB WILLMAN
Behavior Technician
124 E MIRACLE STRIP PKWY
MARY ESTHER, FL 32569
Okaloosa County (850) 301-0438

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hadassah Home Care LLC's NPI number?

The NPI number for Hadassah Home Care LLC is 1265143192. It was assigned to this organization in the NPPES registry on December 12, 2022.

Where is Hadassah Home Care LLC located?

Hadassah Home Care LLC is located at 124 E Miracle Strip Pkwy, Mary Esther, FL 32569. The listed phone number is (850) 601-9710.

What is Hadassah Home Care LLC's specialty?

The primary specialty registered for this NPI is Technician, specializing in Attendant Care Provider, with taxonomy code 3747A0650X.

When was this NPI record last updated?

The NPPES record for Hadassah Home Care LLC was last updated on January 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.