WESTSIDE TERRACE, LLC (NPI# 1225012636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225012636 |
| Entity Type | Organization |
| Organization Name | WESTSIDE TERRACE, LLC |
| Other Organization Name | WESTSIDE TERRACE HEALTH & REHABILITATION CENTER |
| Practice Address |
501 N Woodburn Dr Dothan AL 36303-1995 |
| Practice Telephone | 3347941000 |
| Practice Fax Number | 3347945287 |
| Mailing Telephone | 3347941000 |
| Mailing Fax Number | 3347945287 |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2010-03-29 |
| Authorized Official Name | MRS. RHONDA RENEE TATE (COMPTROLLER) |
| Authorized Official Telephone | 3347941000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 10540 | AL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 4757960S | 05 |
| Other Name | Type Code |
|---|---|
| WESTSIDE TERRACE HEALTH & REHABILITATION CENTER | Doing Business As Name - Organization |
| Street Address |
501 N WOODBURN DR |
| City | DOTHAN |
| State | AL |
| Zip Code | 36303-1995 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639781636 | Anna Shelor | Occupational Therapist | 501 N Woodburn Dr, Dothan, AL 36303-1995 | 2020-08-20 |
| 1255967030 | Rhonda Michelle Daniel | Occupational Therapy Assistant | 501 N Woodburn Dr, Dothan, AL 36303-1995 | 2020-03-12 |
| 1093347676 | Jazmine Laroda | Physical Therapy Assistant | 501 N Woodburn Dr, Dothan, AL 36303-2015 | 2020-02-11 |
| 1275165011 | Leah Staples | Occupational Therapy Assistant | 501 N Woodburn Dr, Dothan, AL 36303-1995 | 2020-02-10 |
| 1942831037 | Emily Carol Ryan | Occupational Therapist | 501 N Woodburn Dr, Dothan, AL 36303-1995 | 2020-01-28 |
| 1427688720 | Connie Pittman | Physical Therapy Assistant | 501 N Woodburn Dr, Dothan, AL 36303-1995 | 2020-01-25 |
| 1790315034 | Michele Ann Spann | Physical Therapy Assistant | 501 N Woodburn Dr, Dothan, AL 36303-1995 | 2020-01-24 |
| 1013547462 | Sherry Kate Springfield | Physical Therapy Assistant | 501 N Woodburn Dr, Dothan, AL 36303-2015 | 2020-01-23 |
| 1831729441 | Nick Flowers | Occupational Therapy Assistant | 501 N Woodburn Dr, Dothan, AL 36303-1995 | 2020-01-22 |
| 1861022436 | Molly Mcguire Walker | Occupational Therapist | 501 N Woodburn Dr, Dothan, AL 36303-2015 | 2020-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194205740 | Emblom & Vaughn, D.m.d., PC | Dentist | 318 Healthwest Dr., Dothan, AL 36303 | 2018-08-14 |
| 1164887907 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 118 Obrannan Park Drive, Dothan, AL 36303 | 2015-12-21 |
| 1245634245 | Api Counseling, LLC | Community/Behavioral Health | 1583 Montgomery Highway, Dothan, AL 36303 | 2014-10-20 |
| 1467792382 | Bolanle Boladale Akinduro | Home Health | 107 Hidden Glen Way, Dothan, AL 36303 | 2013-03-01 |
| 1104162114 | Al Dental PC | Dentist | 3400 Montgomery Highway, Dothan, AL 36303 | 2012-12-19 |
| 1659661874 | Juanita Titrud Heersink | Internal Medicine | 210 Westside Drive, Dothan, AL 36303 | 2011-04-08 |
| 1790918548 | Brandi Bradshaw Reeves | Counselor | 100 Westside Dr., Dothan, AK 36303 | 2009-08-27 |
| 1396917589 | Brian Davis | Physical Therapist | 3763 Ross Clark Circle, Dothan, AL 36303 | 2008-03-27 |
| 1558544544 | Healthwest Dental Associates PC | Dentist | 502 Healthwest Drive, Dothan, AL 36303 | 2007-12-12 |
| 1770644775 | Christine Carroll Fain | Occupational Therapist | 3763 Ross Clark Cir Ste 1, Alacare Home Health, Dothan, AL 36303 | 2006-12-13 |
| Find all providers in zip 36303 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (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. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982713087 | Methodist Home for The Aging | Skilled Nursing Facility | 718 Honeysuckle Rd, Dothan, AL 36305-1104 | 2006-08-30 |
| 1487669115 | Extendicare, Inc | Skilled Nursing Facility | 950 S Saint Andrews St, Dothan, AL 36301-3684 | 2006-07-30 |
| 1477709715 | Christopher Charles Cazenave | Skilled Nursing Facility | 950 S Saint Andrews St, Dothan, AL 36301-3684 | 2008-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790268068 | Goodwater Healthcare Center | Skilled Nursing Facility | 16 Jones Hill Rd, Goodwater, AL 35072-9463 | 2018-09-12 |
| 1124574843 | Hair To Go | Skilled Nursing Facility | 4097 Somerset Ridge, Birmingham, AL 35242 | 2016-09-01 |
| 1679027841 | Aspire Physical Recovery Center At Cahaba River, LLC | Skilled Nursing Facility | 3070 Healthy Way, Vestavia, AL 35243 | 2016-08-05 |
| 1851785844 | Selena Duff | Skilled Nursing Facility | 2830 Phillips St, Florence, AL 35633-1525 | 2015-03-27 |
| 1285038398 | Aspire Physical Recovery Center At Hoover, LLC | Skilled Nursing Facility | 575 Southland Dr, Hoover, AL 35226-3732 | 2014-10-17 |
| 1417360819 | Katrina Lovill | Skilled Nursing Facility | 1716 Ballard Dr Se, Huntsville, AL 35801-1619 | 2014-06-04 |
| 1023440153 | Ridgewood Health Services, Inc. | Skilled Nursing Facility | 201 Oakhill Rd, Jasper, AL 35504-7496 | 2013-07-31 |
| 1366700528 | Bkd Alabama Snf LLC | Skilled Nursing Facility | 501 University Park Drive, Birmingham, AL 35209-6738 | 2012-04-25 |
| 1225347495 | Montgomery Children's Specialty Center, LLC | Skilled Nursing Facility | 2853 Forbes, Montgomery, AL 36110-1307 | 2010-10-05 |
| 1407081557 | Stacie Peek Wilson | Skilled Nursing Facility | 2701 Meridian Street North, Huntsville, AL 35811 | 2009-05-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.