FL Hud Destin, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

FL HUD DESTIN, LLC

Practice address

138 Sandestin Lane
Miramar Beach, FL 32550-5899

Phone

(850) 267-3718

NPI assigned

Jun 11, 2008

Organization subpart

Yes

Parent organization

HUD FACILITIES, LLCAs reported in NPPES

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

Authorized official

Name

James Richardson

Title

President

Phone

(850) 430-0000

Specialties & licenses 1

Addresses

Other names 1

• Grand Boulevard Health & Rehabilitation Center Doing business as

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443484800000",
    "number": "1386804599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 PALAFOX PL",
            "address_2": "SUITE 400",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325025697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 SANDESTIN LANE",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325505899",
            "telephone_number": "850-267-3718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FL HUD DESTIN, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HUD FACILITIES, LLC",
        "enumeration_date": "2008-06-11",
        "last_updated": "2015-09-29",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-430-0000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand Boulevard Health & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eric Hedean Lamb, LCSW, LLC
• Eric M Scheuffler DMD MD
• Angela Lauren Everett, RBT
• Patrick A. Ferry, MD
• Megan Fielder
• Foodstuff
• Amber Fordham
• Forefront Dermatology, S.C.
• Matthew Bruce Fournier, DMD
• Alaina Fox, BCBA

• Skilled Nursing Facility in Miramar Beach, FL
• Providers in Miramar 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 Sep 29, 2015; 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.