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FKP FORT WALTON BEACH SENIOR LIVING TENANT LLC
NPI 1184342867
Assisted Living Facility in Fort Walton Beach, FL

Active since August 18, 2022
2000 PRINCIPAL LN, FORT WALTON BEACH, FL 32547(850) 243-7735 Get Directions Write a Review

NPPES record last updated: August 18, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fkp Fort Walton Beach Senior Living Tenant Llc NPPES

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

FKP FORT WALTON BEACH SENIOR LIVING TENANT LLC (NPI 1184342867), doing business as Belvedere Commons Of Fort Walton Beach, is a healthcare organization registered as an assisted living facility in Fort Walton Beach, Florida and active in the NPI registry since August 2022. The organization lists Ayla Harwood, Coo, as its authorized official.

NPPES Registry Identity

NPI1184342867
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameFKP FORT WALTON BEACH SENIOR LIVING TENANT LLC
Location Address2000 PRINCIPAL LNFort Walton Beach, FL 32547-6636
Mailing Address2000 Principal LnFort Walton Beach, FL 32547-6636 · (850) 243-7735
Phone(850) 243-7735
Organization SubpartNo
Authorized OfficialAyla HarwoodCoo · (239) 292-1513
Enumeration DateAugust 18, 2022
NPPES CertifiedAugust 18, 2022
✔ NPI 1184342867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
2000 PRINCIPAL LN, Fort Walton Beach, FL 32547
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Other Names 1

Doing Business AsBelvedere Commons Of Fort Walton Beach

Other Identifiers 1

Medicaid0000000FL

Other Providers at the Same Location NPPES 6

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

ANN MARIE ELLIOTT COTA/L
Occupational Therapy Assistant
2000 PRINCIPAL LN
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 362-6495
MRS. HESTER GROSSKOPF OT
Occupational Therapist
2000 PRINCIPAL LN
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 362-6495
MIRANDA WALKER
Occupational Therapist
2000 PRINCIPAL LN
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 362-6495
TRACI JOHNSON PTA
Physical Therapy Assistant
2000 PRINCIPAL LN
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 362-6495
JODIE MORRIS
Speech-Language Pathologist
2000 PRINCIPAL LN
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 243-7735
MRS. SUSAN THERESA WARDROP P.T.A.
Physical Therapy Assistant
2000 PRINCIPAL LN
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 362-6495

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 Fkp Fort Walton Beach Senior Living Tenant LLC's NPI number?

The NPI number for Fkp Fort Walton Beach Senior Living Tenant LLC is 1184342867. It was assigned to this organization in the NPPES registry on August 18, 2022. The provider is doing business as Belvedere Commons of Fort Walton Beach.

Where is Fkp Fort Walton Beach Senior Living Tenant LLC located?

Fkp Fort Walton Beach Senior Living Tenant LLC is located at 2000 Principal Ln, Fort Walton Beach, FL 32547. The listed phone number is (850) 243-7735.

What is Fkp Fort Walton Beach Senior Living Tenant LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Fkp Fort Walton Beach Senior Living Tenant LLC was last updated on August 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.