Organization Active NPI

Defuniak Springs HCC LLC

  • Skilled Nursing Facility
  • Defuniak Springs, FL
National Provider Identifier
1104717461
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
DEFUNIAK SPRINGS HCC LLC
Practice address
785 S 2ND St
Defuniak Springs, FL 32435-4903
Phone
(850) 892-2176
NPI assigned
Jul 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Authorized official

Name
Chaim Leibowitz
Title
Evp
Phone
(850) 892-2176

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

785 S 2ND St
Defuniak Springs, FL 32435-4903

Mailing address

548 Cedarwood Dr
Cedarhurst, NY 11516-1010
Phone (850) 892-2176

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1752451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752451200000",
    "number": "1104717461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "548 CEDARWOOD DR",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115161010",
            "telephone_number": "850-892-2176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 S 2ND ST",
            "city": "DEFUNIAK SPRINGS",
            "state": "FL",
            "postal_code": "324354903",
            "telephone_number": "850-892-2176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEFUNIAK SPRINGS HCC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-14",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A",
        "authorized_official_last_name": "LEIBOWITZ",
        "authorized_official_first_name": "CHAIM",
        "authorized_official_title_or_position": "EVP",
        "authorized_official_telephone_number": "850-892-2176"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Defuniak Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; 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.