Healthmark of Walton Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

212810961 Issued in FL

Legal business name

HEALTHMARK OF WALTON INC.

Practice address

4413 US Highway 331 S
Defuniak Springs, FL 32435-6307

Phone

(850) 951-4500

NPI assigned

Nov 7, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Lisa Shirley Holley, MS

Title

Coo

Phone

(850) 951-4508

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Healthmark Home Health Agency Other name

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Healthmark of Walton Rural Health Clinic Inc

  • Rural Health Clinic/Center
  • Defuniak Springs, FL
  • NPI 1013908201

  Member Of

  NPD member

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631491200000",
    "number": "1578544649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4413 US HIGHWAY 331 S",
            "city": "DEFUNIAK SPRINGS",
            "state": "FL",
            "postal_code": "324356307",
            "telephone_number": "850-951-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4413 US HIGHWAY 331 S",
            "city": "DEFUNIAK SPRINGS",
            "state": "FL",
            "postal_code": "324356307",
            "telephone_number": "850-951-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHMARK OF WALTON INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-07",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A",
        "authorized_official_last_name": "HOLLEY",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "SHIRLEY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "850-951-4508",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "212810961",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "4234",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010188501",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthmark Home Health Agency",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Healthmark Home Health Agency",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Benjamin Fredrick Hammett, P.T
• Wendy M Harris, FNP-C
• Arjan Hayer
• Kerrian A Hazley, MD
• Healthmark of Walton Inc (Healthmark Regional Medical Center)
• Healthmark of Walton Rural Health Clinic Inc
• Healthy Transitions, LLC
• Lauran L Hebert
• Melinda C. Henderson, ARNP, FAAN,
• Lily Rayanne Herndl

• Home Health Agency in Defuniak Springs, FL
• Providers in Defuniak Springs, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; 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.