Emerald Coast Center

LBN: Emerald Coast Rehabilitation Center, Llc
Emerald Coast Center is an health care organization with primary practice located at 114 3Rd St Se , Fort Walton Beach FL 32548-5401. 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. Emerald Coast Rehabilitation Center, Llc can be contacted via phone (850) 243-6134, or through Jaffe, Howard via phone (215) 346-6454.

Contact Information

Primary practice address
114 3Rd St Se Fort Walton Beach FL 32548-5401
Phone: (850) 243-6134
Fax: (850) 243-9759
Website:
Map and Directions
Authorized official contact:
Name: Jaffe, Howard
Phone: (215) 346-6454

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X SNF11410961 Florida

Profile Details

NPI number 1891799623
LBN Legal business name Emerald Coast Rehabilitation Center, Llc
DBA Doing business as Emerald Coast Center
Authorized official Jaffe, Howard
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 9th, 2005
Last updated Feb 27th, 2014 - about 12 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 1891799623 NPPES
Florida MEDICAID 021290300

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