Blountstown Health & Rehabilitation Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF1652096 Issued in FL

Legal business name

BLOUNTSTOWN HEALTH & REHABILITATION CENTER, LLC

Practice address

16690 SW Chipola Rd
Blountstown, FL 32424-1953

Phone

(850) 674-4311

Fax

(850) 674-3798

NPI assigned

Oct 10, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Steven D Womack

Title

Manager

Phone

(828) 324-8898

Specialties & licenses 1

Addresses

Other names 1

• Blountstown Health & Rehabilitation Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223596800000",
    "number": "1033360862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3343",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286033343",
            "telephone_number": "828-324-8898",
            "fax_number": "828-322-9598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16690 SW CHIPOLA RD",
            "city": "BLOUNTSTOWN",
            "state": "FL",
            "postal_code": "324241953",
            "telephone_number": "850-674-4311",
            "fax_number": "850-674-3798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOUNTSTOWN HEALTH & REHABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-10",
        "last_updated": "2008-10-10",
        "status": "A",
        "authorized_official_last_name": "WOMACK",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "828-324-8898",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF1652096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blountstown Health & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicholas Barth, D.D.S.
• Chauncey L Belser, PT
• Bittern Emergency Physicians, LLC
• Blountstown Drug Inc.
• Blountstown FL Operator LLC
• Blountstown Rehabilitation Center, LLC
• Blountstown SNF Operations LLC
• Taylor Boyd
• Clifford Stuart Bristol, M.D.
• Leola Anissa Brock, MA

• All providers in Blountstown, FL
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.