OrganizationActive
500 South Hospital Drive Operations LLC
NPI 1689943458 · Skilled Nursing Facility · Crestview, FL
Provider details
- NPI number
- 1689943458
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Kenneth Ussery, Vp(407) 571-1550
- License
- SNF130471012 (FL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
500 Hospital Dr
Crestview, FL 32539-7355
Phone: (850) 689-3146
Fax: (850) 689-2286
Approximate (ZIP-level) locationGet directions
Mailing address
500 Hospital Dr
Crestview, FL 32539-7355
Other names (DBA / former)
- Doing business as
- Shoal Creek Rehabilitation Center
- Doing business as
- Shoal Creek Rehabilitation Center
Registry dates
- Enumerated
- 2011-12-22
- Last updated
- 2023-11-27
- Certified
- 2020-05-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.