SOUTHERN ESTATES ASSISTED LIVING (NPI# 1720482938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720482938 |
| Entity Type | Organization |
| Organization Name | SOUTHERN ESTATES ASSISTED LIVING |
| Practice Address |
212 E Stewart Rd Scottsboro AL 35769-6406 |
| Practice Telephone | 2565744202 |
| Practice Fax Number | 2565746916 |
| Mailing Telephone | 2565744202 |
| Mailing Fax Number | 2565746916 |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2014-10-17 |
| Authorized Official Name | MR. ROBERT B DAWSON (OWNER) |
| Authorized Official Telephone | 2565744202 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | D3603 | AL | Nursing & Custodial Care Facilities |
| Street Address |
212 E STEWART RD |
| City | SCOTTSBORO |
| State | AL |
| Zip Code | 35769-6406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831718535 | Healthpointe | Internal Medicine | 24020 John T Reid Pkwy, Scottsboro, AL 35769 | 2020-04-13 |
| 1780192765 | Family First Medicine LLC | Family Medicine | 1601 Veterans Drive, Scottsboro, AL 35769 | 2018-01-12 |
| 1023566205 | Allyscripts LLC | Pharmacy | 201 Lonnie E Crawford Blvd, Suite B, Scottsboro, AL 35769 | 2016-09-15 |
| 1386971257 | Jonathan Wallace Gurr | Pediatrics | 23800 John T. Reid Pkwy, Scottsboro, AL 35769 | 2009-11-12 |
| 1174645923 | The Arc of Jackson County | Day Training, Developmentally Disabled Services | 180 Mack Morris Drive, Scottsboro, AL 35769 | 2007-04-04 |
| 1588742233 | State of Alabama Department of Public Health | Home Health | 294 Liberty Lane, Scottsboro, AL 35769 | 2006-11-01 |
| 1851463368 | State of Alabama Department of Public Health | Home Health | 294 Liberty Lane, Scottsboro, AL 35769 | 2006-11-14 |
| 1598319121 | Stacy Kennamer | Occupational Therapist | 157 Brad St, Scottsboro, AL 35769-3419 | 2019-07-31 |
| 1376864132 | Laurel Rico | Occupational Therapist | 692 Ruby Johnson Dr, Scottsboro, AL 35769-3633 | 2010-06-16 |
| 1497848063 | Douglass Vance | Military Health Care Provider | 264 Belle Dr, Scottsboro, AL 35769-3652 | 2006-10-02 |
| Find all providers in zip 35769 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851998686 | Wesley Gardens | Assisted Living Facility | 1555 Taylor Rd, Montgomery, AL 36117-3491 | 2020-10-05 |
| 1104430206 | Nalf Tuscaloosa, LLC | Assisted Living Facility | 5810 Rice Mine Rd Ne, Tuscaloosa, AL 35406-3260 | 2020-09-04 |
| 1649884743 | Nalf Prattville, LLC | Assisted Living Facility | 809 Green Springs Dr, Prattville, AL 36067-2136 | 2020-09-04 |
| 1073146858 | Rhcsc Montgomery I Health Holdings LLC | Assisted Living Facility | 3920 Antoinette Dr, Montgomery, AL 36111-2722 | 2020-02-19 |
| 1467992727 | Thrive At Jones Farm | Assisted Living Facility | 2238 Cecil Ashburn Dr Se, Huntsville, AL 35802 | 2017-03-06 |
| 1619332681 | South Alabama Healthcare, LLC | Assisted Living Facility | 6848 Gulf Shores Pkwy, Gulf Shores, AL 36542-2551 | 2015-12-17 |
| 1861871071 | Homeward Health Care, LLC | Assisted Living Facility | 5501 Scoutcreek Drive, Birmingham, AL 35244 | 2015-05-20 |
| 1710381710 | Seasons Health Care, LLC. | Assisted Living Facility | 3011 Augusta Trce Se, Hampton Cove, AL 35763-9319 | 2014-10-20 |
| 1477980951 | Ec Halcyon Operations, LLC | Assisted Living Facility | 1775 Halcyon Blvd, Montgomery, AL 36117-3487 | 2013-09-30 |
| 1114267739 | David Kniola Crnp LLC | Assisted Living Facility | 825 Woods Ferry Rd, Lincoln, AL 35096-5874 | 2013-02-19 |
| Find all providers with the same taxonomy | ||||
| City | SCOTTSBORO |
| Zip Code | 35769 |
Please comment or provide details below to improve the information on SOUTHERN ESTATES ASSISTED LIVING.
| 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.