PHC-FT WALTON INC
NPI 1922099928
Skilled Nursing Facility in Ft Walton Beach, FL

Active since October 31, 2005
1 L B J SR DR, FT WALTON BEACH, FL 32547(850) 863-2066(850) 863-9006 Get Directions Write a Review

NPPES record last updated: November 12, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Phc-ft Walton Inc NPPES

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

PHC-FT WALTON INC (NPI 1922099928) is a healthcare organization registered as a skilled nursing facility in Ft Walton Beach, Florida and active in the NPI registry since October 2005. The organization lists William Arol Hudson, Administrator, as its authorized official.

NPPES Registry Identity

NPI1922099928
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePHC-FT WALTON INC
Location Address1 L B J SR DRFt Walton Beach, FL 32547-1163
Mailing Address909 Gardengate CirPensacola, FL 32504 · (850) 479-1012 · Fax (850) 479-1013
Fax(850) 863-9006
Organization SubpartNo
Authorized OfficialWilliam Arol HudsonAdministrator · (850) 863-2066
Enumeration DateOctober 31, 2005
Last NPPES UpdateNovember 12, 2009
NPI 1922099928 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 · FL14605
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.
1 L B J SR DR, Ft Walton Beach, FL 32547

Other Identifiers 3

Medicare NSC4356260001FL
Medicaid022923700FL
Medicare OSCAR/certification105295FL

Other Providers at the Same Location NPPES

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

Skilled Nursing Facility
1 L B J SR DR
FORT WALTON BEACH, FL 32547

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 Phc-Ft Walton Inc's NPI number?

The NPI number for Phc-Ft Walton Inc is 1922099928. It was assigned to this organization in the NPPES registry on October 31, 2005.

Where is Phc-Ft Walton Inc located?

Phc-Ft Walton Inc is located at 1 L B J Sr Dr, Ft Walton Beach, FL 32547. The listed phone number is (850) 863-2066.

What is Phc-Ft Walton Inc'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 Phc-Ft Walton Inc was last updated on November 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.