MERRYWOOD LODGE (NPI# 1033541719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033541719 |
| Entity Type | Organization |
| Organization Name | MERRYWOOD LODGE |
| Practice Address |
280 Mt Hebron Rd Elmore AL 36025-1526 |
| Practice Telephone | 3345678484 |
| Mailing Telephone | 3345678484 |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2013-08-05 |
| Authorized Official Name | AMBER LOUISE BROOKS (LPTA) |
| Authorized Official Telephone | 3343187536 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | PTA6755 | AL | Nursing & Custodial Care Facilities |
| Street Address |
280 MT HEBRON RD |
| City | ELMORE |
| State | AL |
| Zip Code | 36025-1526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104876226 | Sunbridge Healthcare LLC | Skilled Nursing Facility | 280 Mt Hebron Rd, Elmore, AL 36025-1526 | 2006-05-11 |
| 1447881800 | Charity Bibb | Occupational Therapist | 280 Mt Hebron Rd, Elmore, AL 36025-1526 | 2020-02-03 |
| 1427606037 | Samantha Lee Cohn | Occupational Therapy Assistant | 280 Mt Hebron Rd, Elmore, AL 36025-1526 | 2019-08-27 |
| 1083278246 | Anthony Norris | Physical Therapy Assistant | 280 Mt Hebron Rd, Elmore, AL 36025-1526 | 2019-04-23 |
| 1922587658 | Al Pacs 2 PC | Hospitalist | 280 Mt Hebron Rd, Elmore, AL 36025-1526 | 2018-08-13 |
| 1760976575 | Seanne Zenata Warrior | Physical Therapist | 280 Mt Hebron Rd, Elmore, AL 36025-1526 | 2018-06-15 |
| 1568980746 | Chelsie Jones | Physical Therapy Assistant | 280 Mt Hebron Rd, Elmore, AL 36025-1526 | 2017-09-07 |
| 1588187074 | Kiki Nicole Cox | Physical Therapy Assistant | 280 Mt Hebron Rd, Elmore, AL 36025-1526 | 2017-07-17 |
| 1750733259 | Lee Sullivan | Occupational Therapy Assistant | 280 Mt Hebron Rd, Elmore, AL 36025-1526 | 2016-07-07 |
| 1285084962 | Thomas Frank Lowry | Physical Therapy Assistant | 280 Mt Hebron Rd, Elmore, AL 36025-1526 | 2016-06-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881114783 | Sharnese Danielle Thompson | Occupational Therapist | 280 Mt. Hebron Road, Elmore, AL 36025 | 2017-06-21 |
| 1629283080 | Frank Lambert Wright | Dentist | 2690 Marion Spillway Road, Elmore, AL 36025 | 2007-05-11 |
| 1750498341 | Air Evac Ems Inc. | Ambulance | 1155 Al Hwy 14, Elmore, AL 36025 | 2006-08-23 |
| 1306199682 | Family & Therapeutic Services | Community/Behavioral Health | 208 Quail Ridge Rd, Elmore, AL 36025-1006 | 2012-10-23 |
| 1093330664 | Laura B Boley | Social Worker | 208 Quail Ridge Rd, Elmore, AL 36025-1006 | 2020-06-10 |
| 1124594866 | Valerie Deloris Gamble | Counselor | 208 Quail Ridge Rd, Elmore, AL 36025-1006 | 2018-10-21 |
| 1740455617 | Jennifer Lynn Wilson | Nurse Practitioner | 199 Lake Bend Dr, Elmore, AL 36025-1058 | 2008-04-23 |
| 1952569170 | Tamika S Francis | Speech-Language Pathologist | 495 Brownstone Loop, Elmore, AL 36025-1072 | 2008-05-23 |
| 1770020372 | Corizon Healthcare | Clinic/Center | 2690 Marion Spillway Rd, Elmore, AL 36025-1531 | 2017-01-21 |
| 1184193344 | Lucy Thuo | Nurse Practitioner | 2690 Marion Spillway Rd, Elmore, AL 36025-1531 | 2018-11-16 |
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| 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 |
|---|---|---|---|---|
| 1104876226 | Sunbridge Healthcare LLC | Skilled Nursing Facility | 280 Mt Hebron Rd, Elmore, AL 36025-1526 | 2006-05-11 |
| 1063804748 | Linda Perez | Skilled Nursing Facility | 280 Mt Hebron Rd, Elmore, AL 36025-1526 | 2015-03-04 |
| 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.