DESTIN HEALTHCARE AND REHABILITATION CENTER
NPI 1336418102
Skilled Nursing Facility in Destin, FL

Active since December 22, 2011
195 MATTIE M KELLY BLVD, DESTIN, FL 32541(850) 654-4588(850) 654-3944 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 9, 2019, Apr 14, 2017, Aug 29, 2016 (3 updates tracked since 2016).

About Destin Healthcare And Rehabilitation Center NPPES

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

DESTIN HEALTHCARE AND REHABILITATION CENTER (NPI 1336418102) is a healthcare organization registered as a skilled nursing facility in Destin, Florida and active in the NPI registry since December 2011. The organization lists Kenneth Ussery, Vp, as its authorized official.

NPPES Registry Identity

NPI1336418102
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business Name195 MATTIE M. KELLY BOULEVARD OPERATIONS LLC
Location Address195 MATTIE M KELLY BLVDDestin, FL 32541-2811
Mailing Address195 Mattie M Kelly BlvdDestin, FL 32541-2811 · (850) 654-4588 · Fax (850) 654-3944
Fax(850) 654-3944
Organization SubpartNo
Authorized OfficialKenneth UsseryVp · (407) 571-1550
Enumeration DateDecember 22, 2011
Last NPPES UpdateNovember 27, 20233 updates tracked since enumeration
NPPES CertifiedApril 27, 2020
NPI 1336418102 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 · SNF16210961
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.
195 MATTIE M KELLY BLVD, Destin, FL 32541

Other Names 1

Doing Business AsDestin Healthcare And Rehabilitation Center

Other Identifiers 1

Medicaid006110100FL

Other Providers at the Same Location NPPES 13

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

Physical Therapist
195 MATTIE M KELLY BLVD
DESTIN, FL 32541
Physical Therapy Assistant
195 MATTIE M KELLY BLVD
DESTIN, FL 32541
Physical Therapy Assistant
195 MATTIE M KELLY BLVD
DESTIN, FL 32541
Physical Therapist
195 MATTIE M KELLY BLVD
DESTIN, FL 32541
Speech-Language Pathologist
195 MATTIE M KELLY BLVD
DESTIN, FL 32541
Occupational Therapy Assistant
195 MATTIE M KELLY BLVD
DESTIN, FL 32541
Occupational Therapy Assistant
195 MATTIE M KELLY BLVD
DESTIN, FL 32541
Speech-Language Pathologist
195 MATTIE M KELLY BLVD
DESTIN, FL 32541

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 195 Mattie M. Kelly Boulevard Operations LLC's NPI number?

The NPI number for 195 Mattie M. Kelly Boulevard Operations LLC is 1336418102. It was assigned to this organization in the NPPES registry on December 22, 2011. The provider is doing business as Destin Healthcare And Rehabilitation Center.

Where is 195 Mattie M. Kelly Boulevard Operations LLC located?

195 Mattie M. Kelly Boulevard Operations LLC is located at 195 Mattie M Kelly Blvd, Destin, FL 32541. The listed phone number is (850) 654-4588.

What is 195 Mattie M. Kelly Boulevard Operations 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 195 Mattie M. Kelly Boulevard Operations LLC was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.