Organization Active NPI

Health Center of Blue Water Bay Inc

  • Skilled Nursing Facility
  • Niceville, FL
National Provider Identifier
1295770477
Registry record updated Feb 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
SNF13080951 Issued in FL
Legal business name
HEALTH CENTER OF BLUE WATER BAY INC
Practice address
1500 White Point Rd
Niceville, FL 32578-4249
Phone
(850) 897-5592
NPI assigned
Jun 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2008

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

Authorized official

Name
Steve Strawn
Title
Director
Phone
(615) 217-2324

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X SNF13080951 FL Primary

Addresses

Primary practice location

1500 White Point Rd
Niceville, FL 32578-4249

Mailing address

1500 White Point Rd
Niceville, FL 32578-4249
Phone (850) 897-5592

Other identifiers 1

IdentifierTypeStateIssuer
K8VOtherFLBCBS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1295770477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 WHITE POINT RD",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325784249",
            "telephone_number": "850-897-5592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 WHITE POINT RD",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325784249",
            "telephone_number": "850-897-5592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH CENTER OF BLUE WATER BAY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "STRAWN",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "615-217-2324"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF13080951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "K8V",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Niceville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.