Shoal Creek Rehabilitation Center

LBN: North Okaloosa Health Care Associates 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. North Okaloosa Health Care Associates Llc can be contacted via phone (850) 689-3146, or through Baltz, Matthew H. via phone (850) 689-3146.

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: Baltz, Matthew H.
Phone: (850) 689-3146

Health care specialties

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

Profile Details

NPI number 1225084833
LBN Legal business name North Okaloosa Health Care Associates Llc
DBA Doing business as Shoal Creek Rehabilitation Center
Authorized official Baltz, Matthew H.
Entity Organization
Organization subpart 1 No
Enumeration date May 25th, 2006
Last updated Nov 4th, 2012 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225084833 NPPES
Florida MEDICAID 025237900

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