BEVERLY ENTERPRISES - ALABAMA, INC. (NPI# 1245286228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245286228 |
| Entity Type | Organization |
| Organization Name | BEVERLY ENTERPRISES - ALABAMA, INC. |
| Other Organization Name | GOLDEN LIVINGCENTER - PELL CITY |
| Practice Address |
510 Wolf Creek Rd N Pell City AL 35125-2477 |
| Practice Telephone | 2053383329 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2014-07-03 |
| Authorized Official Name | HOLLY RASMUSSEN-JONES (SECRETARY) |
| Authorized Official Telephone | 4792014835 |
| Is Organization Subpart | Y |
| Parent Organization Name | BEVERLY HEALTH AND REHABILITATION SERVICES, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 4757480S | 05 | |
| AL | HEALTH SPRINGS | 38613 | 01 |
| Other Name | Type Code |
|---|---|
| Golden LivingCenter - Pell City | Doing Business As Name - Organization |
| Street Address |
510 WOLF CREEK RD N |
| City | PELL CITY |
| State | AL |
| Zip Code | 35125-2477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699243220 | Jessica Stewart | Nurse Practitioner | 510 Wolf Creek Rd N, Pell City, AL 35125-2477 | 2018-11-13 |
| 1407393176 | Iris Poland | Speech-Language Pathologist | 510 Wolf Creek Rd N, Pell City, AL 35125-2477 | 2017-01-19 |
| 1942755038 | Diversicare of Pell City, LLC | Skilled Nursing Facility | 510 Wolf Creek Rd N, Pell City, AL 35125-2477 | 2016-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629507082 | Christoph Scott Koogler | Pharmacist | 165 Vaughn Lane, Pell City, AL 35125 | 2017-06-08 |
| 1104133693 | State of Alabama Department of Public Health | Nurse Practitioner | 1175 23rd Street North, St. Clair County Health Department, Pell City, AL 35125 | 2010-09-07 |
| 1801918776 | David Timothy Sawyer | Dentist | 402a Cogswell Ave, Pell City, AL 35125 | 2007-04-04 |
| 1528106341 | Patricia Yvonne Hamilton | Counselor | 1540 Center Point Pkway, Suite 102, Birmingham, AL 35125 | 2007-02-02 |
| 1316028566 | Glenn Hendrick Magargee | Counselor | 8 16th Street, Pell City, AL 35125 | 2006-10-17 |
| 1508965633 | Derek Matthew Morris | Pharmacist | 505 Martin Street, Pell City, AL 35125 | 2006-09-22 |
| 1699882738 | Hasmukh Nagindas Jariwala | Internal Medicine | 2811 Dr John Haynes Dr, Suite 102, Pell City, AL 35125 | 2006-08-24 |
| 1912914185 | Sara V Thompson | Nurse Practitioner | 70 Plaza Drive, Pell City, AL 35125 | 2006-08-01 |
| 1972547636 | Elisabeth May Douglass | Physical Therapist | 85 Plaza Drive, Pell City, AL 35125 | 2006-06-15 |
| 1851376610 | Barry G Collins | Internal Medicine | 7067 Veterans Parkway, Suite 200, Pell City, AL 35125 | 2005-12-14 |
| Find all providers in zip 35125 | ||||
| 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 |
|---|---|---|---|---|
| 1669558086 | St. Clair Health & Rehab, Inc. | Skilled Nursing Facility | 7300 Hwy 78e, Pell City, AL 35128 | 2006-10-27 |
| 1942755038 | Diversicare of Pell City, LLC | Skilled Nursing Facility | 510 Wolf Creek Rd N, Pell City, AL 35125-2477 | 2016-08-18 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.