OrganizationActive
626 North Tyndall Parkway Operations LLC
NPI 1376812016 · Skilled Nursing Facility · Callaway, FL
Provider details
- NPI number
- 1376812016
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Kenneth Ussery, Vp(407) 571-1550
- License
- SNF1292096 (FL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
626 N Tyndall Pkwy
Callaway, FL 32404-6132
Phone: (850) 871-6363
Fax: (850) 871-6367
Approximate (ZIP-level) locationGet directions
Mailing address
626 N Tyndall Pkwy
Callaway, FL 32404-6132
Other names (DBA / former)
- Doing business as
- Emerald Shores Health and Rehabilitation
- Doing business as
- Emerald Shores Health and Rehabilitation
Registry dates
- Enumerated
- 2011-12-27
- Last updated
- 2023-11-27
- Certified
- 2020-04-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.