COLLINSVILLE NURSING HOME, INC (NPI# 1467406298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467406298 |
| Entity Type | Organization |
| Organization Name | COLLINSVILLE NURSING HOME, INC |
| Other Organization Name | COLLINSVILLE HEALTHCARE & REHAB |
| Practice Address |
685 North Valley Ave Collinsville AL 35961 |
| Mailing Address |
Po Box 310 Collinsville AL 35961-0310 |
| Practice Telephone | 2565242117 |
| Practice Fax Number | 2565242035 |
| Mailing Telephone | 2565242117 |
| Mailing Fax Number | 2565242035 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2013-02-08 |
| Authorized Official Name | MR. JAMES RANDALL COKER JR. (ADMINISTRATOR) |
| Authorized Official Telephone | 2565242117 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 12525 | AL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 4754120S | 05 |
| Other Name | Type Code |
|---|---|
| COLLINSVILLE HEALTHCARE & REHAB | Doing Business As Name - Organization |
| Street Address |
685 NORTH VALLEY AVE |
| City | COLLINSVILLE |
| State | AL |
| Zip Code | 35961 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144301235 | Co Co, Inc. | Durable Medical Equipment & Medical Supplies | 720 North Valley Ave, Collinsville, AL 35961 | 2006-10-17 |
| 1225159981 | North East Alabama Center for Infectious Disease& Internal Medicine | Clinic/Center | 107 Main St, Collinsville, AL 35961 | 2007-04-02 |
| 1053367342 | Sunil K Jaiswal | Internal Medicine | 107 Main Street, Collinsville, AL 35961 | 2006-05-26 |
| 1467808881 | Brandi Ware | Nurse Practitioner | 52 S Valley Ave Ste B, Collinsville, AL 35961-3263 | 2016-05-05 |
| 1669566527 | Frances H. Koe | Family Medicine | 52 S Valley Ave, Collinsville, AL 35961-3263 | 2006-10-03 |
| 1841818010 | Dana Hall Siniard | Nurse Practitioner | 52 S Valley Ave Ste B, Collinsville, AL 35961-3263 | 2020-07-13 |
| 1902450281 | Pamela Shirley | Family Medicine | 52 S Valley Ave Ste B, Collinsville, AL 35961-3263 | 2019-07-25 |
| 1134271281 | Judith Womack Jones | Nurse Practitioner | 52 S Valley Ave, Collinsville, AL 35961-3263 | 2007-01-17 |
| 1407213259 | Julie Menk | Speech-Language Pathologist | 68 N Valley Ave, Collinsville, AL 35961-3330 | 2016-01-25 |
| 1952594004 | Kilgore Express Pharmcy Inc | Durable Medical Equipment & Medical Supplies | 588 S Valley Ave, Collinsville, AL 35961-3535 | 2007-08-22 |
| Find all providers in zip 35961 | ||||
| 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 |
|---|---|---|---|---|
| 1265532022 | Collinsville Hco, LLC | Skilled Nursing Facility | 614 N Summit Ave, Collinsville, IL 62234 | 2006-09-22 |
| 1447883608 | Collinsville Hco, LLC | Skilled Nursing Facility | 614 Summit Ave, Collinsville, IL 62234-3728 | 2020-02-17 |
| 1720506702 | City of Sapulpa | Skilled Nursing Facility | 2300 W Broadway St, Collinsville, OK 74021-1625 | 2017-08-30 |
| 1205239266 | Jack County Hospital District | Skilled Nursing Facility | 501 N Main St, Collinsville, TX 76233-5106 | 2014-10-06 |
| 1518300292 | New Horizons, Inc. | Skilled Nursing Facility | 102 Dyer Ave, Collinsville, CT 06019-3236 | 2013-04-11 |
| 1538400452 | North County Senior Living, LLC | Skilled Nursing Facility | 2300 W Broadway St, Collinsville, OK 74021-1625 | 2013-03-04 |
| 1922202357 | Collinsville Long Term Care, LLC | Skilled Nursing Facility | 501 N Main St, Collinsville, TX 76233-5106 | 2007-06-11 |
| 1134345168 | First Caremerica | Skilled Nursing Facility | 614 N Summit Ave, Collinsville, IL 62034 | 2007-04-18 |
| 1568528560 | Pyramid Healthcare Corp. | Skilled Nursing Facility | 501 N Main St, Collinsville, TX 76233-5106 | 2006-12-28 |
| 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 | ||||
| City | COLLINSVILLE |
| Zip Code | 35961 |
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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.