Organization · Type 2 NPI

500 South Hospital Drive Operations LLC

Skilled Nursing Facility · Crestview, FL

NPI number 1689943458 Active

Practice location

500 Hospital Dr
Crestview, FL 32539-7355

Fax (850) 689-2286

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	SNF130471012 (FL)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

23 other providers at this address

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NPI record

NPI: 1689943458
Entity type: Organization (Type 2)
Issued: Dec 22, 2011
Last updated: Nov 27, 2023
Status: Active

Other names

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Shoal Creek Rehabilitation Center · doing business as
Shoal Creek Rehabilitation Center · doing business as

Authorized official

Kenneth Ussery
VP
(407) 571-1550

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1689943458

500 South Hospital Drive Operations LLC's National Provider Identifier is 1689943458, issued on Dec 22, 2011. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Crestview, FL. The record was last updated on Nov 27, 2023.