Active NPI
The Cherokee County Health Care Authority
- Skilled Nursing Facility
- Centre, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 11125
- Legal business name
- THE CHEROKEE COUNTY HEALTH CARE AUTHORITY
- Practice address
- 877 Cedar Bluff Rd
Centre, AL 35960-1005 - Phone
- (256) 927-5778
- Fax
- (256) 927-6294
- NPI assigned
- Sep 20, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Linda R Davis
- Title
- Admin Assistant
- Phone
- (256) 927-5778
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 11125 | AL | Primary |
| Durable Medical Equipment & Medical Supplies | 332B00000X | N1001 | AL | |
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | N1001 | AL |
Addresses
Primary practice location
877 Cedar Bluff Rd
Centre, AL 35960-1005
Mailing address
877 Cedar Bluff Rd
Centre, AL 35960-1005
Phone (256) 927-5778
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4753560S | Medicaid | AL |
Other names 1
- Cherokee County Health and Rehabilitation Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070912000371 | AL | Part A Provider - Skilled Nursing Facility | 1456444082 | Practice locations: Centre, AL |
Skilled nursing facility certification: CCN 015200
- Legal name
- THE CHEROKEE COUNTY HEALTH CARE AUTHORITY
- Doing business as
- CHEROKEE COUNTY HEALTH AND REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Dec 1, 1977
- Last certification
- Nov 21, 2019
- Beds
- 185
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Government
- Incorporated
- Jan 1, 1960 in AL
- Enrollment address
- 877 Cedar Bluff Rd
Centre, AL 35960-1005 - Nursing home name
- CHEROKEE COUNTY HEALTH AND REHABILITATION CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Cherokee County Health and Rehabilitation Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Dec 1, 1977
- Medicare certification status
- Active
- Certified beds
- 185
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D0672558 | Cherokee County Health and Rehab Center | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 31
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| John E Ellis | Corporate Director | Jan 27, 2013 | 100% |
| Adp of the SNF | Apr 17, 2024 | ||
| Adp of the SNF | Mar 11, 2024 | ||
| The Cherokee County Health Care Authority | Operational/Managerial Control | Jan 1, 1990 | |
| Adp of the SNF | Jan 1, 1990 | ||
| Jennifer D Cambron | Operational/Managerial Control | Jun 1, 2023 | 100% |
| Adp of the SNF | Jun 1, 2023 | ||
| Adp of the SNF | Apr 14, 2017 | ||
| Adp of the SNF | May 18, 2015 | ||
| Adp of the SNF | Apr 11, 2025 | ||
| Preferred Health Services Inc | Operational/Managerial Control | Jan 1, 1990 | |
| Adp of the SNF | Apr 9, 2025 | ||
| Adp of the SNF | Sep 9, 2022 | ||
| Adp of the SNF | Jun 24, 1996 | ||
| Adp of the SNF | Apr 11, 2025 | ||
| Adp of the SNF | Nov 25, 2023 | ||
| Adp of the SNF | Oct 1, 2018 | ||
| Adp of the SNF | Apr 14, 2025 | ||
| Sheri a Frickey | Adp of the SNF | Nov 23, 2021 | |
| Adp of the SNF | Jan 1, 2023 | ||
| Adp of the SNF | Apr 9, 2007 | ||
| Adp of the SNF | Mar 1, 2023 | ||
| Adp of the SNF | Jan 28, 2022 | ||
| Adp of the SNF | Jan 12, 2009 | ||
| Adp of the SNF | Jan 1, 1990 | ||
| Adp of the SNF | Jan 14, 2013 | ||
| Adp of the SNF | Jul 1, 2023 | ||
| Enrico Deseo Y. Gaspar | Adp of the SNF | Dec 1, 2021 | |
| Adp of the SNF | Mar 1, 2023 | ||
| Adp of the SNF | Nov 29, 2023 | ||
| Adp of the SNF | Apr 6, 2023 | ||
| Adp of the SNF | Nov 28, 2007 | ||
| Adp of the SNF | Jan 12, 2009 | ||
| Indirect Ownership Interest | Jan 12, 2009 | ||
| Adp of the SNF | Sep 1, 2013 |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Centre, AL
- NPI 1679598775
-
- Internal Medicine Physician
- Centre, AL
- NPI 1437656584
-
- Internal Medicine Physician
- Boaz, AL
- NPI 1497740492
Affiliated clinicians 3
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": "1127174400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1369008000000",
"number": "1013903608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "877 CEDAR BLUFF RD",
"city": "CENTRE",
"state": "AL",
"postal_code": "359601005",
"telephone_number": "256-927-5778",
"fax_number": "256-927-6294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "877 CEDAR BLUFF RD",
"city": "CENTRE",
"state": "AL",
"postal_code": "359601005",
"telephone_number": "256-927-5778",
"fax_number": "256-927-6294"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE CHEROKEE COUNTY HEALTH CARE AUTHORITY",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-20",
"last_updated": "2013-05-20",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "ADMIN ASSISTANT",
"authorized_official_telephone_number": "256-927-5778",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "AL",
"license": "11125",
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "AL",
"license": "N1001",
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "AL",
"license": "N1001",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4753560S",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Cherokee County Health and Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Centre, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.