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FORT WALTON REHABILITATION CENTER, LLC
NPI 1962788646
Skilled Nursing Facility in Fort Walton Beach, FL

Active since October 26, 2011CLIA 10D0701836 · Waiver
4/5
Overall Rating
1 L B J SR DR, FORT WALTON BEACH, FL 32547(850) 863-2066(850) 863-9006 Get Directions Write a Review

NPPES record last updated: September 29, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fort Walton Rehabilitation Center, Llc NPPES

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

FORT WALTON REHABILITATION CENTER, LLC (NPI 1962788646) is a healthcare organization registered as a skilled nursing facility in Fort Walton Beach, Florida and active in the NPI registry since October 2011. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists R. Mark Cronquist, Manager, as its authorized official.

NPPES Registry Identity

NPI1962788646
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameFORT WALTON REHABILITATION CENTER, LLC
Location Address1 L B J SR DRFort Walton Beach, FL 32547-1163
Mailing Address5887 Glenridge Dr, Suite 150Atlanta, GA 30328-5574 · (404) 574-2100 · Fax (404) 574-2105
Phone(850) 863-2066
Fax(850) 863-9006
Organization SubpartNo
Authorized OfficialR. Mark CronquistManager · (404) 574-2100
Enumeration DateOctober 26, 2011
Last NPPES UpdateSeptember 29, 2014
✔ NPI 1962788646 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 · SNF11610951
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, Fort Walton Beach, FL 32547
Open in Google Maps ↗

Other Identifiers 2

Medicaid004488800FL
Medicare OSCAR/certification105295FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida.Insurance ›

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 10D0701836

Fort Walton Rehabilitation Center LLC · Fort Walton Beach, FL
Active · expires Aug 31, 2026
CLIA Number10D0701836
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorMelanie Honeycutt
Laboratory Phone(850) 863-2066
Laboratory LocationFort Walton Rehabilitation Center LLC1 Lbj Senior Dr, Fort Walton Beach, FL 32547
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Fort Walton Rehabilitation Center, LLC (CMS certification number 105295), from CMS Care Compare.

Fort Walton Rehabilitation Center, LLC

Nursing home · Fort Walton Beach, FL
4/5 CMS Overall Rating
OwnershipFor profit - Limited Liability company
CMS Certification Number105295
Certified Beds120 beds107 residents per day on average
Medicare & Medicaid Participant SinceDecember 16, 1979
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
4/5
Long-Stay Quality
Quality of care delivered to long-term residents.
5/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
3/5
Staffing
Based on nursing staff hours relative to resident needs.
3/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
10.67
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.12 · LPN 0.71 · RN 0.72
3.55 hrs per resident per day
Weekend Nurse Staffing
3.15 hrs per resident per day
Physical Therapist Staffing
0.14 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
48.1%
Registered Nurse Turnover
28.6%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
0
Infection-Control Citations
0
Fines
0
Medicare Payment Denials
0
Total Penalties
0
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES

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

PHC-FT WALTON INC
Skilled Nursing Facility
1 L B J SR DR
FT WALTON BEACH, FL 32547
Okaloosa County (850) 863-2066

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 Fort Walton Rehabilitation Center, LLC's NPI number?

The NPI number for Fort Walton Rehabilitation Center, LLC is 1962788646. It was assigned to this organization in the NPPES registry on October 26, 2011.

Where is Fort Walton Rehabilitation Center, LLC located?

Fort Walton Rehabilitation Center, LLC is located at 1 L B J Sr Dr, Fort Walton Beach, FL 32547. The listed phone number is (850) 863-2066.

What is Fort Walton Rehabilitation Center, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Fort Walton Rehabilitation Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0701836) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Fort Walton Rehabilitation Center, LLC a Medicare-certified nursing home?

Yes. Fort Walton Rehabilitation Center, LLC is a Medicare-certified nursing home with 120 certified beds.

What quality rating does Fort Walton Rehabilitation Center, LLC have?

CMS rates Fort Walton Rehabilitation Center, LLC 4 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Fort Walton Rehabilitation Center, LLC accept?

Health plans from Oscar Health Maintenance Organization of Florida list Fort Walton Rehabilitation Center, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fort Walton Rehabilitation Center, LLC was last updated on September 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.