Walton County Convalescent Center Operations, L.L.C.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

WALTON COUNTY CONVALESCENT CENTER OPERATIONS, L.L.C.

Practice address

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

Phone

(850) 892-2176

Fax

(850) 892-0781

NPI assigned

Oct 5, 2005

Organization subpart

No

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

Authorized official

Name

Dawne P Dries, NH

Title

Administrator

Phone

(850) 892-2176

Specialties & licenses 1

Addresses

Other names 1

• Chautauqua Rehabilitation and Nursing Center Doing business as

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679560577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 S 2ND ST",
            "city": "DEFUNIAK SPRINGS",
            "state": "FL",
            "postal_code": "324354903",
            "telephone_number": "850-892-2176",
            "fax_number": "850-892-0781"
        },
        {
            "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",
            "fax_number": "850-892-0781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTON COUNTY CONVALESCENT CENTER OPERATIONS, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DRIES",
        "authorized_official_first_name": "DAWNE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "850-892-2176",
        "authorized_official_credential": "NH"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chautauqua Rehabilitation and Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Walgreen Co
• Timothy W Walker, MD
• Walton County Citizens Advisory Council on Aging, Inc.
• Walton County Healh Department
• Walton County Health Department
• Walton County Health Department
• Walton County Health Department
• Walton County Health Department

• All providers in Defuniak Springs, FL
• 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.