RANDOLPH MANAGEMENT COMPANY, INC. (NPI# 1598159501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598159501 |
| Entity Type | Organization |
| Organization Name | RANDOLPH MANAGEMENT COMPANY, INC. |
| Other Organization Name | TRAYLOR RETIREMENT COMMUNITY |
| Practice Address |
1235 Yancey St Roanoke AL 36274-2141 |
| Mailing Address |
1235 Yancey St P.o. Box 467 Roanoke AL 36274-2141 |
| Practice Telephone | 3348633500 |
| Practice Fax Number | 3348632325 |
| Mailing Telephone | 3348633500 |
| Mailing Fax Number | 3348632325 |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2015-03-27 |
| Authorized Official Name | MR. JONATHAN MARK TRAYLOR (PRESIDENT) |
| Authorized Official Telephone | 3347491471 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | N5603 | AL | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Traylor Retirement Community | Doing Business As Name - Organization |
| Street Address |
1235 YANCEY ST |
| City | ROANOKE |
| State | AL |
| Zip Code | 36274-2141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366493066 | Phoenix Healthcare LLC | Skilled Nursing Facility | 1235 Yancey St, Roanoke, AL 36274-2141 | 2006-05-15 |
| 1184182933 | Karly Anne Lindroth-yates | Physical Therapist | 1235 Yancey St, Roanoke, AL 36274-2141 | 2019-03-11 |
| 1275947814 | Shannon Fuller | Physical Therapist | 1235 Yancey St, Roanoke, AL 36274-2141 | 2014-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144520446 | Eagle Drugs LLC | Pharmacy | 3705 Hwy 431, Roanoke, AL 36274 | 2010-11-02 |
| 1538498431 | Harriet Elizabeth Chappell | Nurse Practitioner | 1026 Lafayette Parkway, Roanoke, AL 36274 | 2009-12-24 |
| 1194917096 | William Robert Dixson | Pharmacist | 4108 United States Highway 431, Roanoke, AL 36274 | 2007-08-14 |
| 1841416542 | Lincare Inc | Durable Medical Equipment & Medical Supplies | 935 Hwy 431, Suite 3, Roanoke, AL 36274 | 2007-04-18 |
| 1144322504 | Russell D Peterson | Family Medicine | 965 Us Hwy 431, Roanoke, AL 36274 | 2006-09-05 |
| 1104003987 | Randolph Medical Associates | Spec/Tech, Cardiovascular | 965 Us Hwy 431, Roanoke, AL 36274 | 2008-01-24 |
| 1497815120 | Randolph Medical Associates, PC | Family Medicine | 965 Us Hwy 431, Roanoke, AL 36274 | 2006-12-11 |
| 1417023987 | State of Alabama Department of Public Health | Home Health | 320 Main Street, Roanoke, AL 36274 | 2006-11-28 |
| 1841379617 | State of Alabama Department of Public Health | Home Health | 320 Main Street, Roanoke, AL 36274 | 2006-11-03 |
| 1568545382 | State of Alabama Department of Public Health | Home Health | 320 Main Street, Roanoke, AL 36274 | 2006-10-23 |
| Find all providers in zip 36274 | ||||
| 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 |
|---|---|---|---|---|
| 1346616422 | Friendship Health and Rehab Center South Inc | Skilled Nursing Facility | 5647 Starkey Rd, Roanoke, VA 24018-9034 | 2015-08-12 |
| 1558444505 | Avante At Roanoke, Inc. | Skilled Nursing Facility | 324 King George Ave Sw, Roanoke, VA 24016-5213 | 2006-10-23 |
| 1205918794 | Apostolic Christian Home of Roanoke Illinois Inc. | Skilled Nursing Facility | 1102 W Randolph St, Roanoke, IL 61561-7528 | 2006-10-20 |
| 1245330299 | Our Lady of The Valley, Inc. | Skilled Nursing Facility | 650 N Jefferson St, Roanoke, VA 24016-1427 | 2006-09-22 |
| 1235242322 | Springtree Health Care Center Ltm | Skilled Nursing Facility | 3433 Springtree Dr Ne, Roanoke, VA 24012-6443 | 2006-08-16 |
| 1679686877 | Medical Facilities of America Li | Skilled Nursing Facility | 1527 Grandin Rd Sw, Roanoke, VA 24015-2305 | 2006-08-15 |
| 1295770162 | Virginia Lutheran Homes, Inc. | Skilled Nursing Facility | 3837 Brandon Ave Sw, Roanoke, VA 24018-1441 | 2006-06-17 |
| 1477597227 | Roanoke Healthcare Center LLC | Skilled Nursing Facility | 680 Seymour Dr, Roanoke, AL 36274-1547 | 2006-06-15 |
| 1407897135 | Generation Leasing Company II, LLC | Skilled Nursing Facility | 4355 Pheasant Ridge Rd, Roanoke, VA 24014-5272 | 2006-06-10 |
| 1366493066 | Phoenix Healthcare LLC | Skilled Nursing Facility | 1235 Yancey St, Roanoke, AL 36274-2141 | 2006-05-15 |
| Find all providers in ROANOKE | ||||
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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.