Provider Demographics
NPI:1154529360
Name:HEALTH CONNECTIONS OF NEWPORT LLC
Entity type:Organization
Organization Name:HEALTH CONNECTIONS OF NEWPORT LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:D
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-386-2522
Mailing Address - Street 1:2851 REMINGTON GREEN CIR
Mailing Address - Street 2:SUITE D
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-1505
Mailing Address - Country:US
Mailing Address - Phone:850-386-2522
Mailing Address - Fax:850-386-1552
Practice Address - Street 1:6120 CONGRESS ST
Practice Address - Street 2:SUITE 201
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34653-3909
Practice Address - Country:US
Practice Address - Phone:727-645-5413
Practice Address - Fax:727-645-5414
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-10
Last Update Date:2008-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL109061Medicare PIN
109061Medicare Oscar/Certification