SHOAL CREEK REHABILITATION CENTER
NPI 1225084833
Skilled Nursing Facility in Crestview, FL

Active since May 25, 2006
500 HOSPITAL DR, CRESTVIEW, FL 32539(850) 689-3146(850) 689-2286 Get Directions Write a Review

NPPES record last updated: November 4, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Shoal Creek Rehabilitation Center NPPES

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

SHOAL CREEK REHABILITATION CENTER (NPI 1225084833) is a healthcare organization registered as a skilled nursing facility in Crestview, Florida and active in the NPI registry since May 2006. The organization lists Matthew H. Baltz, Manager, as its authorized official.

NPPES Registry Identity

NPI1225084833
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameNORTH OKALOOSA HEALTH CARE ASSOCIATES LLC
Location Address500 HOSPITAL DRCrestview, FL 32539-7355
Mailing Address500 Hospital DrCrestview, FL 32539-7355 · (850) 689-3146 · Fax (850) 689-2286
Fax(850) 689-2286
Organization SubpartNo
Authorized OfficialMatthew H. BaltzManager · (850) 689-3146
Enumeration DateMay 25, 2006
Last NPPES UpdateNovember 4, 2012
NPI 1225084833 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 · SNF130471012
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.

500 HOSPITAL DR, Crestview, FL 32539

Other Names 1

Doing Business AsShoal Creek Rehabilitation Center

Other Identifiers 2

Medicare OSCAR/certification106028
Medicaid025237900FL

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2305477

North Okaloosa Physician Group Primary Care · Crestview, FL
Expired · May 30, 2026
CLIA Number10D2305477
Laboratory TypePhysician Office
Certificate Effective DateMay 31, 2024
Certificate Expiration DateMay 30, 2026
Laboratory DirectorAlana L. Lilland
Laboratory Phone(850) 306-2750
Laboratory LocationNorth Okaloosa Physician Group Primary Care131 E Redstone Ave Suite 105, Crestview, FL 32539
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 19

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

Speech-Language Pathologist
500 HOSPITAL DR
CRESTVIEW, FL 32539
Occupational Therapist
500 HOSPITAL DR
CRESTVIEW, FL 32539
Physical Therapy Assistant
500 HOSPITAL DR
CRESTVIEW, FL 32539
Occupational Therapy Assistant
500 HOSPITAL DR
CRESTVIEW, FL 32539
Occupational Therapy Assistant
500 HOSPITAL DR
CRESTVIEW, FL 32539
Physical Therapy Assistant
500 HOSPITAL DR
CRESTVIEW, FL 32539
Speech-Language Pathologist
500 HOSPITAL DR
CRESTVIEW, FL 32539
Occupational Therapist
500 HOSPITAL DR
CRESTVIEW, FL 32539

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225084833, enumerated as an "organization" on May 25, 2006.

The provider is located at 500 HOSPITAL DR CRESTVIEW, FL 32539 and the phone number is (850) 689-3146.

Skilled Nursing Facility with taxonomy code 314000000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.