SOUTHERN OAKS REHAB & NURSING CENTER
NPI 1669466173
Skilled Nursing Facility in Pensacola, FL

Active since September 12, 2005CLIA Certified · 3 labs
600 W GREGORY ST, PENSACOLA, FL 32502(850) 437-3131(850) 437-3733 Get Directions Write a Review

NPPES record last updated: November 25, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Southern Oaks Rehab & Nursing Center NPPES

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

SOUTHERN OAKS REHAB & NURSING CENTER (NPI 1669466173) is a healthcare organization registered as a skilled nursing facility in Pensacola, Florida and active in the NPI registry since September 2005. The organization holds a CLIA Waiver certificate valid through August 20, 2026 and lists Sam Kravetz, A/r, as its authorized official.

NPPES Registry Identity

NPI1669466173
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePENSACOLA SNF LLC
Location Address600 W GREGORY STPensacola, FL 32502-4744
Mailing Address600 W. Gregory St.Pensacola, FL 32502 · (850) 437-3131
Fax(850) 437-3733
Organization SubpartNo
Authorized OfficialSam KravetzA/r · (732) 942-1344
Enumeration DateSeptember 12, 2005
Last NPPES UpdateNovember 25, 2009
NPI 1669466173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Licenses Licensed in FL · 1566096 Licensed in FL · 14993
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.

600 W GREGORY ST, Pensacola, FL 32502

Other Names 1

Doing Business AsSouthern Oaks Rehab & Nursing Center

Other Identifiers 2

Medicaid026063100FL
Medicare OSCAR/certification106051FL

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D2152952
Facility Type
Other - CLINICAL RESEARCH
Certificate Effective Date
August 21, 2024
Certificate Expiration Date
August 20, 2026
Laboratory Director
ASHLEY HODGES
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Southern Oaks Rehab & Nursing Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Skilled Nursing Facility
600 W GREGORY ST
PENSACOLA, FL 32502
Occupational Therapy Assistant
600 W GREGORY ST
PENSACOLA, FL 32502
Skilled Nursing Facility
600 W GREGORY ST
PENSACOLA, FL 32502
Nurse Practitioner (Gerontology)
600 W GREGORY ST
PENSACOLA, FL 32502
Skilled Nursing Facility
600 W GREGORY ST
PENSACOLA, FL 32502
Skilled Nursing Facility
600 W GREGORY ST
PENSACOLA, FL 32502
Clinic/Center (Physical Therapy)
600 W GREGORY ST
PENSACOLA, FL 32502

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669466173, enumerated as an "organization" on September 12, 2005.

The provider is located at 600 W GREGORY ST PENSACOLA, FL 32502 and the phone number is (850) 437-3131.

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.