American Senior Living of Fort Walton Beach FL LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF1602096 Issued in FL

Legal business name

AMERICAN SENIOR LIVING OF FORT WALTON BEACH FL LLC

Doing business as

Westwood Health Care Center

Practice address

1001 Mar Walt Dr
Fort Walton Beach, FL 32547-6780

Phone

(850) 863-5174

Fax

(850) 863-4791

NPI assigned

Aug 23, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Thomas E Rawles II

Title

Vice President

Phone

(239) 262-8006

Specialties & licenses 1

Addresses

Other names 1

• Westwood Health Care Center Doing business as

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043203367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 MAR WALT DR",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476780",
            "telephone_number": "850-863-5174",
            "fax_number": "850-863-4791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 MAR WALT DR",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476780",
            "telephone_number": "850-863-5174",
            "fax_number": "850-863-4791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN SENIOR LIVING OF FORT WALTON BEACH FL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAWLES",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "239-262-8006",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF1602096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westwood Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marla J Allen
• Theresa D Allen, RN
• Carmen Alston
• Lisa Alvey, RMHI
• American Homepatient, Inc.
• Robert Keith Amiel, OD
• Michelle Ammon, M.ED., BCBA
• Gregory Ammons
• Shannon L Amos, M.A., CCC-SLP
• Warren R. Amos, MD

• Skilled Nursing Facility in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.