WILDER HEALTH CARE CENTER, LLC (NPI# 1013076025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013076025 |
| Entity Type | Organization |
| Organization Name | WILDER HEALTH CARE CENTER, LLC |
| Practice Address |
345 E Lafayette St Dadeville AL 36853-1415 |
| Practice Telephone | 2568257881 |
| Practice Fax Number | 2568257772 |
| Mailing Telephone | 2568257881 |
| Mailing Fax Number | 2568257772 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2008-02-21 |
| Authorized Official Name | MRS. JANICE TYLER (ADMINISTRATOR) |
| Authorized Official Telephone | 2568257881 |
| Authorized Official Credential | ADMINISTRATOR |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 12687 | AL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 4756800S | 05 |
| Street Address |
345 E LAFAYETTE ST |
| City | DADEVILLE |
| State | AL |
| Zip Code | 36853-1415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528378197 | Ivy Creek Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 201 Mariarden Road, Dadeville, AL 36853 | 2010-10-18 |
| 1912125535 | Casey Turner | Pharmacist | 459 North Broadnax Street, Dadeville, AL 36853 | 2007-04-20 |
| 1053467100 | Anthony Leon Nix | Pharmacist | 221 E South Street, Dadeville, AL 36853 | 2007-01-25 |
| 1407879083 | Karen J Mockler | Family Medicine | 1034 South Tallassee Street, Dadeville, AL 36853 | 2006-07-25 |
| 1902947336 | Frank Langley Pearson | Pharmacist | 221 E South Street, Dadeville, AL 36853 | 2007-02-09 |
| 1194871251 | Pamela Bass Gam | Pharmacist | 221 E South Street, Dadeville, AL 36853 | 2007-01-25 |
| 1942266408 | Sridhar Krishnamurti | Audiologist | 301 Mariarden Rd, Lake Martin Community Hospital, Dadeville, AL 36853 | 2006-04-25 |
| 1124298351 | State of Alabama | Public Health or Welfare | 535 N Broadnax St, Dadeville, AL 36853-0100 | 2008-03-04 |
| 1164538203 | Robert William Bartel | General Practice | 301 Mariarden Rd, Dadeville, AL 36853-0129 | 2006-08-22 |
| 1790717858 | John Raymond Durant | General Practice | 301 Mariarden Rd, Ste D, Dadeville, AL 36853-0129 | 2006-07-07 |
| Find all providers in zip 36853 | ||||
| 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 |
|---|---|---|---|---|
| 1346279114 | Dadeville Healthcare Center | Skilled Nursing Facility | 351 N East St, Dadeville, AL 36853-1517 | 2006-07-02 |
| 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 |
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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.