EMERALD SHORES HEALTH AND REHABILITATION
NPI 1023093804
Skilled Nursing Facility in Callaway, FL

Active since December 14, 2005
626 N TYNDALL PKWY, CALLAWAY, FL 32404(850) 871-6363(850) 871-6367 Get Directions Write a Review

NPPES record last updated: November 19, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Emerald Shores Health And Rehabilitation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMERALD SHORES HEALTH AND REHABILITATION (NPI 1023093804) is a healthcare organization registered as a skilled nursing facility in Callaway, Florida and active in the NPI registry since December 2005. The organization lists Jeffrey C. Mark, Manager, as its authorized official.

NPPES Registry Identity

NPI1023093804
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameEMERALD SHORES HEALTH CARE ASSOCIATES LLC
Location Address626 N TYNDALL PKWYCallaway, FL 32404-6132
Mailing Address626 N Tyndall PkwyCallaway, FL 32404-6132 · (850) 871-6363 · Fax (850) 871-6367
Fax(850) 871-6367
Organization SubpartNo
Authorized OfficialJeffrey C. MarkManager · (850) 871-6363
Enumeration DateDecember 14, 2005
Last NPPES UpdateNovember 19, 2013
NPI 1023093804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in FL · SNF1292096
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
626 N TYNDALL PKWY, Callaway, FL 32404

Other Names 1

Doing Business AsEmerald Shores Health And Rehabilitation

Other Identifiers 2

Medicaid025219100FL
Medicare OSCAR/certification105148

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapy Assistant
626 N TYNDALL PKWY
CALLAWAY, FL 32404
Occupational Therapy Assistant
626 N TYNDALL PKWY
PANAMA CITY, FL 32404
Occupational Therapy Assistant
626 N TYNDALL PKWY
PANAMA CITY, FL 32404
Occupational Therapist
626 N TYNDALL PKWY
CALLAWAY, FL 32404
Nurse Practitioner (Family)
626 N TYNDALL PKWY
CALLAWAY, FL 32404
Occupational Therapist
626 N TYNDALL PKWY
PANAMA CITY, FL 32404
Speech-Language Pathologist
626 N TYNDALL PKWY
CALLAWAY, FL 32404
Physical Therapy Assistant
626 N TYNDALL PKWY
PANAMA CITY, FL 32404

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emerald Shores Health Care Associates LLC's NPI number?

The NPI number for Emerald Shores Health Care Associates LLC is 1023093804. It was assigned to this organization in the NPPES registry on December 14, 2005. The provider is doing business as Emerald Shores Health And Rehabilitation.

Where is Emerald Shores Health Care Associates LLC located?

Emerald Shores Health Care Associates LLC is located at 626 N Tyndall Pkwy, Callaway, FL 32404. The listed phone number is (850) 871-6363.

What is Emerald Shores Health Care Associates LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Emerald Shores Health Care Associates LLC was last updated on November 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.