RESURRECTION LIFE CENTER (NPI# 1972509453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972509453 |
Entity Type | Organization |
Organization Name | RESURRECTION LIFE CENTER |
Other Organization Name | RESURRECTION CATHOLIC MISSIONS OF THE SOUTH |
Practice Address |
1240 County Road 39 Deatsville AL 36022-2536 |
Practice Telephone | 3342630618 |
Practice Fax Number | 3342302056 |
Mailing Telephone | 3342630618 |
Mailing Fax Number | 3342302056 |
Enumeration Date | 2005-06-21 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MANUEL WILLIAMS (CHIEF EXECUTIVE OFFICER) |
Authorized Official Telephone | 3342634221 |
Authorized Official Credential | REV. C.R. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | ========= | AL | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AL | 4752130S | 05 |
Other Name | Type Code |
---|---|
Resurrection Catholic Missions Of The South | Doing Business As Name - Organization |
Street Address |
1240 COUNTY ROAD 39 |
City | DEATSVILLE |
State | AL |
Zip Code | 36022-2536 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619352549 | Amanda Warr | Dietitian, Registered | 25 Skyline Dr, Deatsville, AL 36022 | 2015-07-21 |
1588862635 | Ti-resurrection Life Center, L.L.C. | Assisted Living Facility | 65 Charlton Place, Deatsville, AL 36022 | 2007-07-10 |
1437309317 | Deatsville Care Foundation, Inc. | Skilled Nursing Facility | 65 Charlton Place, 1240 County Road 39, Deatsville, AL 36022 | 2008-09-26 |
1871190256 | Charles M Thorn | Radiology | 204 Debbie Dr, Deatsville, AL 36022-2567 | 2020-10-08 |
1366725780 | Ashley Stone Sellers | Pharmacist | 174 Jasmine Ct, Deatsville, AL 36022-2588 | 2011-09-21 |
1184045957 | Brandy Stroup Young | Registered Nurse | 408 Hidden Valley Rd, Deatsville, AL 36022-2647 | 2013-12-21 |
1033351580 | Seana L Wade | Speech-Language Pathologist | 65 Charlton Pl, Deatsville, AL 36022-2697 | 2009-03-30 |
1922240472 | Robert Steven Browning | Registered Nurse | 65 Charlton Pl, Deatsville, AL 36022-2697 | 2009-03-30 |
1437653037 | Express Mro | Family Medicine | 2175 Us Highway 31 N, Deatsville, AL 36022-2714 | 2018-03-20 |
1396115796 | Montgomery Drug Company Inc | Pharmacy | 2175b Us Highway 31 N, Deatsville, AL 36022-2714 | 2015-09-29 |
Find all providers in zip 36022 |
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 |
---|---|---|---|---|
1437309317 | Deatsville Care Foundation, Inc. | Skilled Nursing Facility | 65 Charlton Place, 1240 County Road 39, Deatsville, AL 36022 | 2008-09-26 |
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 | DEATSVILLE |
Zip Code | 36022 |
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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.