MOUNDVILLE HEALTH AND REHABILITATION, LLC (NPI# 1831139898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831139898 |
| Entity Type | Organization |
| Organization Name | MOUNDVILLE HEALTH AND REHABILITATION, LLC |
| Practice Address |
121 Union St Moundville AL 35474 |
| Practice Telephone | 2053712252 |
| Mailing Telephone | 2053712252 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2020-10-01 |
| Authorized Official Name | PHILLIP CODY LONG (CFO) |
| Authorized Official Telephone | 2053913600 |
| Is Organization Subpart | N |
| 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 | BCBS ID | 012709 | 01 |
| AL | 4754560S | 05 |
| Street Address |
121 UNION ST |
| City | MOUNDVILLE |
| State | AL |
| Zip Code | 35474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730655846 | Restore Therapy Services, Ltd. | Physical Therapist | 40890 Alabama Highway 69, Moundville, AL 35474 | 2018-10-16 |
| 1285046110 | Andrea Brown Stringfellow | Nurse Practitioner | 16063 Alabama Highway 69, Moundville, AL 35474 | 2014-05-27 |
| 1700211745 | Encore Rehabilitation, Inc. | Clinic/Center | 50 Wildcat Way, Moundville, AL 35474 | 2013-09-10 |
| 1013032648 | Moundville Medical Plaza Inc. | Pharmacist | 16061 Hwy 69 South, Moundville, AL 35474 | 2007-03-20 |
| 1760472674 | Heather Phillips Whitley | Pharmacist | 16063 Hwy 69 South, Moundville Medical Center, Moundville, AL 35474 | 2005-10-24 |
| 1093125874 | Rachel Phillips | Occupational Therapist | 306 Washington St, Livingston, AL 35474 | 2014-05-02 |
| 1649458605 | Dr Larry O Skelton Md PC | Nurse Practitioner | 16063 Hwy 69 South, Moundville, AL 35474 | 2008-02-01 |
| 1942382908 | Clifford Allen Harland Jr. | Pharmacist | 16061 Hwy 69 S Moundville Medical Plaza, Moundville, AL 35474-0551 | 2006-10-19 |
| 1144727231 | Ronaka Latrice Paster | Social Worker | 796 Jamie Ln, Moundville, AL 35474-4286 | 2018-04-06 |
| 1497139497 | Kc Drug Inc | Pharmacy | 40870 Al Highway 69, Ste D, Moundville, AL 35474-4366 | 2015-07-20 |
| Find all providers in zip 35474 | ||||
| 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 |
|---|---|---|---|---|
| 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 | MOUNDVILLE |
| Zip Code | 35474 |
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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.