MOBILE NURSING AND REHABILITATION CENTER, LLC (NPI# 1063521748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063521748 |
| Entity Type | Organization |
| Organization Name | MOBILE NURSING AND REHABILITATION CENTER, LLC |
| Practice Address |
7020 Bruns Dr Mobile AL 36695-4329 |
| Mailing Address |
Po Box 428 Orchard Park NY 14127-0428 |
| Practice Telephone | 2516391588 |
| Practice Fax Number | 2516398278 |
| Mailing Telephone | 7166624955 |
| Mailing Fax Number | 7166679230 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2011-11-03 |
| Authorized Official Name | MR. NORBERT A BENNETT (CO-CEO) |
| Authorized Official Telephone | 7166624955 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 12643 | AL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 4757550S | 05 | |
| AL | BC/BS OF ALABAMA | 00384 | 01 |
| AL | UHC MEDICARE COMPLETE | 7100010 | 01 |
| Street Address |
7020 BRUNS DR |
| City | MOBILE |
| State | AL |
| Zip Code | 36695-4329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669775292 | Jenna Deffenbaugh | Occupational Therapist | 7020 Bruns Dr, Mobile, AL 36695-4329 | 2010-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677596 | Linda Jean Hayes | Counselor | 2146 Carson Court, Mobile, AL 36695 | 2020-10-22 |
| 1205447836 | Restore Therapy Services, Ltd | Physical Therapist | 6720 Grejot Road, Mobile, AL 36695 | 2020-08-17 |
| 1437774999 | Nicholas Alan Brautigam | Chiropractor | 960 Schillinger Rd S, Suite D, Mobile, AL 36695 | 2020-06-10 |
| 1891320412 | R3 Counseling Solutions, LLC | Social Worker | 1110 Hillcrest Road, Suite 1b, Mobile, AL 36695 | 2020-03-04 |
| 1649800079 | Tondalaya Denise Mack | Home Health | 1450 Leroy Stevens Rd, Apt35, Mobile, AL 36695 | 2020-01-24 |
| 1801367107 | Tera Walters Therapy LLC | Pediatrics | 2523 D'iberville Drive North, Mobile, AL 36695 | 2018-12-12 |
| 1023595279 | Hall & Oates Pt West Mobile, LLC | Physical Therapist | 2351 Dawes Road, Mobile, AL 36695 | 2018-07-20 |
| 1679069116 | Oculo-facial Consultants | Ophthalmology | 610 Providence Park Dr E Bldg 2, Mobile, AL 36695 | 2018-07-09 |
| 1669964318 | Tina Highsmith | Hearing Instrument Specialist | 2344 Schillinger Rd S, Building #2 Ste A, Mobile, AL 36695 | 2018-05-30 |
| 1023533858 | Reach Pediatric Therapy | Speech-Language Pathologist | 12485 Jeff Hamilton Rd, Mobile, AL 36695 | 2017-08-14 |
| Find all providers in zip 36695 | ||||
| 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 |
|---|---|---|---|---|
| 1164668059 | Gos Operator LLC | Skilled Nursing Facility | 3151a Knollwood Dr, Mobile, AL 36693-2745 | 2008-12-23 |
| 1770769119 | Knollwood Healthcare LLC | Skilled Nursing Facility | 3151 Knollwood Dr # A, Mobile, AL 36693-2753 | 2008-01-16 |
| 1487765962 | Camille Corporation | Skilled Nursing Facility | 3900 Old Shell Rd, Mobile, AL 36608-1319 | 2006-08-31 |
| 1730124546 | Twin Oaks Nursing Home LLC | Skilled Nursing Facility | 857 Crawford Ln, Mobile, AL 36617-3877 | 2006-06-17 |
| 1215992524 | Mercy Medical, A Corporation | Skilled Nursing Facility | 3712 Dauphin St, Mobile, AL 36608-1725 | 2006-04-19 |
| 1568438240 | Cogburn Health and Rehabilitation - West, Inc. | Skilled Nursing Facility | 8002 Grelot Rd, Mobile, AL 36695-8976 | 2006-02-23 |
| 1730166588 | Congress Street Partners, L.p. | Skilled Nursing Facility | 550 Congress St, Mobile, AL 36603-6152 | 2005-12-22 |
| 1750367538 | Allen Memorial Home | Skilled Nursing Facility | 735 S Washington Ave, Mobile, AL 36603-1301 | 2005-12-22 |
| 1649260225 | Cogburn Health & Rehabilitation, Inc. | Skilled Nursing Facility | 148 Tuscaloosa St, Mobile, AL 36607-3408 | 2005-10-25 |
| 1396735965 | Cogburn Health & Rehabilitation-midtown, Inc. | Skilled Nursing Facility | 3104 Dauphin Sq Connector, Mobile, AL 36607-2513 | 2005-10-25 |
| Find all providers in MOBILE | ||||
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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.