Shoal Creek Rehabilitation Center

LBN: 500 South Hospital Drive Operations Llc
Shoal Creek Rehabilitation Center is an health care organization with primary practice located at 500 Hospital Dr , Crestview FL 32539-7355. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. 500 South Hospital Drive Operations Llc can be contacted via phone (850) 689-3146, or through Ussery, Kenneth via phone (407) 571-1550.

Contact Information

Primary practice address
500 Hospital Dr Crestview FL 32539-7355
Phone: (850) 689-3146
Fax: (850) 689-2286
Website:
Map and Directions
Authorized official contact:
Name: Ussery, Kenneth
Phone: (407) 571-1550

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X SNF130471012 Florida

Profile Details

NPI number 1689943458
LBN Legal business name 500 South Hospital Drive Operations Llc
DBA Doing business as Shoal Creek Rehabilitation Center
Authorized official Ussery, Kenneth
Entity Organization
Organization subpart 1 No
Enumeration date Dec 22nd, 2011
Last updated Nov 27th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1689943458 NPPES
Florida MEDICAID 005985200

Popular Providers