CROWNE HEALTH CARE OF FORT PAYNE, LLC (NPI# 1508825076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508825076 |
| Entity Type | Organization |
| Organization Name | CROWNE HEALTH CARE OF FORT PAYNE, LLC |
| Practice Address |
403 13th St Nw Fort Payne AL 35967-3145 |
| Mailing Address |
501 Whetstone St Monroeville AL 36460-2615 |
| Practice Telephone | 2568455990 |
| Practice Fax Number | 2568455992 |
| Mailing Telephone | 2517433609 |
| Mailing Fax Number | 2515755618 |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DAVID G MCABEE (CFO) |
| Authorized Official Telephone | 2517433609 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 12527 | AL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 4757520S | 05 |
| Street Address |
403 13TH ST NW |
| City | FORT PAYNE |
| State | AL |
| Zip Code | 35967-3145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073086922 | Ft Payne Careplus, LLC | Clinic/Center | 3000 Gault Ave North, Ft Payne, AL 35967 | 2019-01-03 |
| 1851739023 | Marlon Chad Williamson | Emergency Medicine | 617 Gault Ave N, Fort Payne, AL 35967 | 2013-06-11 |
| 1447552401 | Karole Kelley Ohme | Counselor | 216 Gault Avenue N, Relationship Clinic, Fort Payne, AL 35967 | 2010-11-24 |
| 1720112014 | Dekalb County Mr Board | Case Management | 117 First St Nw, Fort Payne, AL 35967 | 2007-03-16 |
| 1447275490 | Glynn Whiddon Odom | Nurse Anesthetist, Certified Registered | 200 Medical Center Drive, Fort Payne, AL 35967 | 2006-07-12 |
| 1477521698 | Michael Ray Parker | Optometrist | 900 Gault Ave S, Fort Payne, AL 35967 | 2006-03-14 |
| 1144204843 | Dale Ray Stierwalt | Family Medicine | 1618 Gault Ave. N., Fort Payne, AL 35967 | 2005-12-06 |
| 1417951112 | Barton Drake Ibsen | Physical Therapist | 121 Drinkard Dr, Fort Payne, AL 35967 | 2005-06-09 |
| 1407363146 | Tyson Scott Rainer | Nurse Practitioner | 1040 Glenn Blvd Sw, Fort Payne, AL 35967 | 2018-01-03 |
| 1801336599 | Caitlin Kirby | Massage Therapist | 216 Gault Ave N, Fort Payne, AL 35967 | 2017-03-01 |
| Find all providers in zip 35967 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467998864 | Advance Med | Nursing Facility/Intermediate Care Facility | 117 Rocky Ridge St, Carrollton, AL 35447-2139 | 2017-01-10 |
| 1568863785 | Mobile Picc Specialists | Nursing Facility/Intermediate Care Facility | 39 Ashwood Rd, Butler, AL 36904-2860 | 2014-09-07 |
| 1740552306 | Oakwoods Dream Care Assisted Living Facility LLC. | Nursing Facility/Intermediate Care Facility | 1008 Oakwood Ave Nw, Huntsville, AL 35811-1661 | 2012-01-29 |
| 1609077577 | Rtg Medical | Nursing Facility/Intermediate Care Facility | 400 N Ash Ave, Demopolis, AL 36732-2444 | 2007-05-30 |
| 1861597114 | Jackson County Healthcare Authority | Nursing Facility/Intermediate Care Facility | 47065 Alabama Hwy 277, Bridgeport, AL 35740 | 2006-09-13 |
| 1154380632 | Crowne Health Care of Mobile, LLC | Nursing Facility/Intermediate Care Facility | 954 Navco Rd, Mobile, AL 36605-2413 | 2006-03-22 |
| 1285693762 | Evergreen Nursing Home, LLC | Nursing Facility/Intermediate Care Facility | 100 Sanders Dr, Evergreen, AL 36401-3306 | 2006-03-22 |
| 1043279532 | Crowne Health Care of Eufaula, LLC | Nursing Facility/Intermediate Care Facility | 430 Rivers Ave, Eufaula, AL 36027-1820 | 2006-03-22 |
| 1659330132 | Parkwood Health Care Facility, LLC | Nursing Facility/Intermediate Care Facility | 3301 Stadium Dr, Phenix City, AL 36867-3115 | 2006-03-22 |
| 1740249200 | Atmore Nursing Center, LLC | Nursing Facility/Intermediate Care Facility | 715 E Laurel St, Atmore, AL 36502-3113 | 2006-03-22 |
| Find all providers with the same taxonomy | ||||
| City | FORT PAYNE |
| Zip Code | 35967 |
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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.