Emerald Coast Rehabilitation Center, Llc in Fort Walton Beach - Skilled Nursing Facility
Emerald Coast Rehabilitation Center, Llc - NPI 1891799623
Emerald Coast Rehabilitation Center, Llc is a Skilled Nursing Facility in Fort Walton Beach, Florida. Emerald Coast Rehabilitation Center, Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Emerald Coast Rehabilitation Center, Llc is 1891799623. The last update date is 2014-02-27.
Emerald Coast Rehabilitation Center, Llc's current location address is 114 3rd St Se, Fort Walton Beach, Florida. You can contact this provider via phone number 8502436134 and fax number 8502439759. The mailing address for Emerald Coast Rehabilitation Center, Llc is 114 3rd St Se, Fort Walton Beach, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Emerald Coast Rehabilitation Center, Llc |
|---|---|
| Address | 114 3rd St Se, Fort Walton Beach, Florida |
| Phone Number | 8502436134 |
| Fax Number | 8502439759 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Jaffe Howard |
| Telephone Number | 2153466454 |
NPI Number Detail
| NPI Number | 1891799623 |
|---|---|
| Provider Enumeration Date | 2005-06-09 |
| Last Updated Date | 2014-02-27 |
Provider Mailing Address Detail
| Address | 114 3rd St Se |
|---|---|
| City | Fort Walton Beach |
| State | Florida (FL) |
| Post Code | 3254854010 |
| Phone Number | 8502436134 |
| Fax Number | 8502439759 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | SNF11410961 |
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Definition: (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 serv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 21290300 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Emerald Coast Rehabilitation Center, Llc by the Centers for Medicare & Medicaid Services?
The Emerald Coast Rehabilitation Center, Llc has been issued the NPI (National Provider Identifier) 1891799623, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Emerald Coast Rehabilitation Center, Llc's facilities are geographically located?
The facilities of Emerald Coast Rehabilitation Center, Llc are physically situated at the following location: 114 3Rd St Se, Fort Walton Beach, FL, 3254854010.
What is Emerald Coast Rehabilitation Center, Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Emerald Coast Rehabilitation Center, Llc's specialized field of practice is Skilled Nursing Facility, and the corresponding taxonomy code that categorizes this area of specialization is 314000000X.
On what date was the 1891799623 assigned to Emerald Coast Rehabilitation Center, Llc?
The Emerald Coast Rehabilitation Center, Llc was issued its 1891799623 on 2005-06-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Emerald Coast Rehabilitation Center, Llc most recently updated or revised?
The information pertaining to Emerald Coast Rehabilitation Center, Llc, including its address, specialty, and other relevant details, was last updated or revised on 2014-02-27.