HALEYVILLE HEALTH CARE CENTER INC (NPI# 1881690154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881690154 |
| Entity Type | Organization |
| Organization Name | HALEYVILLE HEALTH CARE CENTER INC |
| Practice Address |
2201 11th Ave Haleyville AL 35565-1613 |
| Mailing Address |
2201 11th Ave Po Box 160 Haleyville AL 35565-1613 |
| Practice Telephone | 2054869478 |
| Practice Fax Number | 2054868393 |
| Mailing Telephone | 2054869478 |
| Mailing Fax Number | 2054868393 |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2014-08-12 |
| Authorized Official Name | MR. TONY CULBERSON (ADMINISTRATOR) |
| Authorized Official Telephone | 2054869478 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 10674 | AL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BCBS PROVIDER NUMBER | 010647 | 01 |
| AL | 4754830S | 05 |
| Street Address |
2201 11TH AVE |
| City | HALEYVILLE |
| State | AL |
| Zip Code | 35565-1613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730332305 | Lisa Marie Hulsey | Occupational Therapy Assistant | 2201 11th Ave, Haleyville, AL 35565-1613 | 2008-10-28 |
| 1306044060 | Brandy Susann Riddle | Occupational Therapy Assistant | 2201 11th Ave, Haleyville, AL 35565-1613 | 2007-07-04 |
| 1154528164 | Elizabeth Dey Riddle | Speech-Language Pathologist | 2201 11th Ave, Haleyville, AL 35565-1613 | 2007-07-02 |
| 1346447497 | Jim Willingham | Occupational Therapist | 2201 11th Ave, Haleyville, AL 35565-1613 | 2007-07-02 |
| 1598962573 | Amber Destiny Anderson | Occupational Therapy Assistant | 2201 11th Ave, Haleyville, AL 35565-1613 | 2007-07-02 |
| 1285831263 | Mark Suitts | Physical Therapy Assistant | 2201 11th Ave, Haleyville, AL 35565-1613 | 2007-07-02 |
| 1700083722 | Kim Ward Bailey | Physical Therapy Assistant | 2201 11th Ave, Haleyville, AL 35565-1613 | 2007-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669715165 | Judith Ann Reynolds | Pharmacist | 2323 15th Ave, Haleyville, AL 35565 | 2013-04-03 |
| 1578879482 | Beth K Moore | Physical Therapist | 42445 Highway 195 East, Village East Shopping Center, Haleyville, AL 35565 | 2010-08-30 |
| 1043549306 | Jane Ann D Gilbert | Counselor | 71 Carraway Dr, Haleyville, AL 35565 | 2009-12-16 |
| 1285878462 | Amanda Jean Godsey | Family Medicine | 1023 Hwy 13, Haleyville, AL 35565 | 2009-05-01 |
| 1083808745 | More Than Words Speech Pathology Services, LLC | Speech-Language Pathologist | 1713 21st Street, Haleyville, AL 35565 | 2007-09-05 |
| 1780704270 | Charles H Banks Jr. | Dentist | 2095 20th Avenue, Haleyville, AL 35565 | 2007-03-30 |
| 1306962352 | Kimeron L Robertson | Physical Therapist | 42445 Hwy 195 E, Village East Shopping Center, Haleyville, AL 35565 | 2007-03-21 |
| 1396831855 | Amy Boshell | Chiropractor | 8177 Hwy 13, Haleyville, AL 35565 | 2006-10-04 |
| 1417041047 | Vanessa Ann Ragland | Family Medicine | 42320 Highway 195, Haleyville, AL 35565 | 2006-10-03 |
| 1679670814 | Dan M Lakeman | Dentist | 1001 Hwy 13, Haleyville, AL 35565 | 2006-09-20 |
| Find all providers in zip 35565 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| Find all providers with the same taxonomy | ||||
| City | HALEYVILLE |
| Zip Code | 35565 |
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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.