LIBERTY COUNTY SENIOR CITIZENS ASSOC. INC.
NPI 1396002358
In Home Supportive Care in Bristol, FL

Active since April 16, 2012
15629 NW COUNTY ROAD 12, POST OFFICE BOX 730, BRISTOL, FL 32321(850) 643-5613(850) 643-5672 Get Directions Write a Review

NPPES record last updated: April 16, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • In Home Supportive Care

About LIBERTY COUNTY SENIOR CITIZENS ASSOC. INC.

This page provides the complete NPI Profile along with additional information for Liberty County Senior Citizens Assoc. Inc., a provider established in Bristol, Florida operating as a In Home Supportive Care. The healthcare provider is registered in the NPI registry with number 1396002358 assigned on April 2012. The practitioner's primary taxonomy code is 253Z00000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's is doing business as Liberty County Senior Citizens Assoc. Inc.. The authorized official of this NPI record is Mrs. Ann Kincaid Executive Director (Director)

NPI
1396002358 Verify this NPI
Provider Legal Name
LIBERTY COUNTY SENIOR CITIZENS ASSOC. INC.
Other Organization Name
LIBERTY COUNTY SENIOR CITIZENS ASSOC. INC.
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
15629 NW COUNTY ROAD 12 POST OFFICE BOX 730 BRISTOL, FL 32321
Location Phone
(850) 643-5613
Location Fax
(850) 643-5672
Mailing Address
PO BOX 730 BRISTOL, FL 32321
Mailing Phone
(850) 643-5613
Mailing Fax
(850) 643-5672
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-16-2012
Last Update Date
04-16-2012
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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

In Home Supportive Care

Taxonomy Code
253Z00000X
Type
Agencies
Taxonomy Description
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

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

MRS. ANN KINCAID EXECUTIVE DIRECTOR

Authorized Official Title
DIRECTOR
Authorized Official Phone
(850) 643-5613

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396002358, enumerated as an "organization" on April 16, 2012.

The provider is located at 15629 NW COUNTY ROAD 12 POST OFFICE BOX 730 BRISTOL, FL 32321 and the phone number is (850) 643-5613.

In Home Supportive Care with taxonomy code 253Z00000X.