NPIMap

Organization Active NPI

Sylacauga Health and Rehab Services, LLC

  • Skilled Nursing Facility
  • Sylacauga, AL
National Provider Identifier
1013115674
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
N6101 Issued in AL
Legal business name
SYLACAUGA HEALTH AND REHAB SERVICES, LLC
Practice address
1007 W Fort Williams St
Sylacauga, AL 35150-2301
Phone
(256) 245-7402
Fax
(256) 207-3001
NPI assigned
Jul 5, 2007
Organization subpart
Yes
Parent organization
NOLAND HEALTH SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nicholas V Renda
Title
Evp/Cfo
Phone
(205) 783-8460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X N6101 AL Primary

Addresses

Primary practice location

1007 W Fort Williams St
Sylacauga, AL 35150-2301

Mailing address

600 Corporate Pkwy
Suite 100
Birmingham, AL 35242-2934
Phone (205) 783-8440

Other identifiers 1

IdentifierTypeStateIssuer
47-5317MedicaidAL

Other names 1

  • Sylacauga Health and Rehab Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070807000528 AL Part A Provider - Skilled Nursing Facility 0446341341 Practice locations: Sylacauga, AL

Skilled nursing facility certification: CCN 015160

Legal name
SYLACAUGA HEALTH AND REHAB SERVICES, LLC
Doing business as
SYLACAUGA HEALTH & REHAB SERVICES
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 1, 1977
Last certification
Jan 19, 2022
Beds
149
Ownership / control type
Nonprofit Corporation
Multi-facility organization
NOLAND HEALTH SERVICES
Most recent change of ownership
Aug 1, 2007
Organization structure
LLCNon-profit
Incorporated
Jun 26, 2007 in DE
Enrollment address
1007 West Fort Williams Street
Sylacauga, AL 35150-2301
Nursing home name
SYLACAUGA HEALTH AND REHAB SERVICES
Affiliated entity
NOLAND HEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Sylacauga Health and Rehab ServicesCCN 015160
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Feb 1, 1977
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
149131.5 residents per day on average
Chain
Noland Health10 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

600 Corporate Pkwy
Ste 100
Hoover, AL 35242

Ownership & related parties

All disclosed owners & managing parties 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Crystal a Blackwell Individual Operational/Managerial Control Mar 9, 2025
Adp of the SNF Mar 9, 2025
Robert Gary Goff Individual Corporate DirectorBoard Member Aug 1, 2007
Managing Control - Governing BodyBoard Member Aug 1, 2007
Kelley Z Urban Individual Operational/Managerial Control Mar 3, 2019
Adp of the SNF Mar 3, 2019
Michele B Adamson Individual Corporate DirectorBoard Member Oct 26, 2020
Managing Control - Governing BodyBoard Member Oct 26, 2020
Adeeb Thomas Individual Adp of the SNF Mar 1, 2014
Noland Health Services, Inc Organization, Birmingham, AL Corporation, Chain home office 5% Or Greater Direct Ownership Interest Aug 1, 2007 100%
Operational/Managerial Control Aug 1, 2007
Adp of the SNF Aug 1, 2007
Karen Kenwright Individual Operational/Managerial Control Nov 27, 2017
Adp of the SNF Nov 27, 2017
Diana M Boddie Individual Operational/Managerial Control Dec 19, 2016
Adp of the SNF Dec 19, 2016
Nicholas V Renda Individual Corporate DirectorEvp/Cfo/Board Member Oct 26, 2020
Operational/Managerial Control Oct 26, 2020
Managing Control - Governing BodyEvp/Cfo/Board Member Oct 26, 2020
Adp of the SNF Oct 26, 2020
Matthew Hall Individual Operational/Managerial Control Jan 31, 2022
Adp of the SNF Jan 31, 2022
Isaac Ripon Britton Individual Corporate DirectorBoard Member Aug 1, 2007
Managing Control - Governing BodyBoard Member Aug 1, 2007
James T Waggoner Individual Corporate DirectorBoard Member Oct 26, 2020
Managing Control - Governing BodyBoard Member Oct 26, 2020
Shannon Faircloth Individual Operational/Managerial Control Jan 1, 2022
Adp of the SNF Jan 1, 2022
Kathy Smothers Individual Operational/Managerial Control Apr 12, 2021
Adp of the SNF Apr 12, 2021
George S Smith Individual Corporate DirectorBoard Member Aug 25, 2009
Managing Control - Governing BodyBoard Member Aug 25, 2009
Debra J Nelson Individual Corporate DirectorBoard Member Oct 26, 2020
Managing Control - Governing BodyBoard Member Oct 26, 2020
Barbara E. Estep Individual Corporate DirectorPresident/Ceo Apr 1, 2024
Operational/Managerial Control Apr 1, 2024
Managing Control - Governing BodyPresident/Ceo/Board Member Apr 1, 2024
Adp of the SNF Apr 1, 2024
Warren Averett LLC Organization, Birmingham, AL LLC, Consulting firm Adp of the SNF Jun 1, 2022
Noland Pharmacy LLC Organization, Daphne, AL LLC, Medical provider/supplier Adp of the SNF Jul 1, 2023

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 13

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 13

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1013115674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 CORPORATE PKWY",
            "address_2": "SUITE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352422934",
            "telephone_number": "205-783-8440",
            "fax_number": "205-783-8441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 W FORT WILLIAMS ST",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351502301",
            "telephone_number": "256-245-7402",
            "fax_number": "256-207-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYLACAUGA HEALTH AND REHAB SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NOLAND HEALTH SERVICES, INC.",
        "enumeration_date": "2007-07-05",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "RENDA",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "EVP/CFO",
        "authorized_official_telephone_number": "205-783-8460"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AL",
            "license": "N6101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47-5317",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sylacauga Health and Rehab Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sylacauga, AL

Sources for this page

Verify at the official NPI Registry.