Monroe Manor Nursing Home LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

12646 Issued in AL

Legal business name

MONROE MANOR NURSING HOME LLC

Practice address

236 W Claiborne St
Monroeville, AL 36460-1704

Phone

(251) 575-2648

Fax

(251) 575-2647

NPI assigned

Jul 10, 2006

Last updated

Mar 31, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Zed D Perrigin

Title

Administrator

Phone

(251) 575-2648

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013941764. Details of each certification follow.

• CCN 015398 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 015398

Legal name

MONROE MANOR NURSING HOME LLC

Doing business as

MONROE MANOR HEALTH & REHABILITATION CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 7, 1988

Last certification

Dec 5, 2019

Beds

84

Ownership / control type

Corporation

Multi-facility organization

Ball Healthcare Services

Organization structure

LLCProprietary

Incorporated

May 4, 2003 in AL

Enrollment address

236 West Claiborne Street
Monroeville, AL 36460-1704

Nursing home name

MONROE MANOR HEALTH & REHABILITATION CENTER

Affiliated entity

BALL HEALTHCARE SERVICES

Listed as

Monroe Manor Health & Rehabilitation CenterCCN 015398 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

4 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Jan 7, 1988

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

8467.9 residents per day on average

Chain

Ball Healthcare Services9 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 11

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

Owners & managing parties with NPI records 1

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

• Thomas W Broughton, M.D.

  • Family Medicine Physician
  • Monroeville, AL
  • NPI 1073778023

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 3

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

• Ball Healthcare Dallas LLC

  • Skilled Nursing Facility
  • Selma, AL
  • NPI 1932112430

  Ball Healthcare Service, Inc

  CMS ownership
• Ball Healthcare-Jefferson, Inc.

  • Skilled Nursing Facility
  • Birmingham, AL
  • NPI 1891730438

  Ball Healthcare Service, Inc

  CMS ownership
• Robertsdale Nursing Home Inc

  • Skilled Nursing Facility
  • Robertsdale, AL
  • NPI 1124066923

  Ball Healthcare Service, Inc

  CMS ownership

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas W Broughton, M.D.

  • Family Medicine Physician
  • Monroeville, AL
  • NPI 1073778023
  NPD (past)
• Pamala J. Gibbs, M.D.

  • Internal Medicine Physician
  • Monroeville, AL
  • NPI 1275581449
  NPD (past)
• Angela A Powell, MD

  • Family Medicine Physician
  • Monroeville, AL
  • NPI 1265478663
  NPD (past)

Affiliated clinicians 3

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

• Thomas W Broughton, M.D.

  • Family Medicine Physician
  • Monroeville, AL
  • NPI 1073778023

  Nursing home

  Care Compare affiliation
• Pamala J. Gibbs, M.D.

  • Internal Medicine Physician
  • Monroeville, AL
  • NPI 1275581449

  Nursing home

  Care Compare affiliation
• Angela A Powell, MD

  • Family Medicine Physician
  • Monroeville, AL
  • NPI 1265478663

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459382400000",
    "number": "1013941764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SOUTHERN WAY",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366191210",
            "telephone_number": "251-433-9801",
            "fax_number": "251-433-9807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 W CLAIBORNE ST",
            "city": "MONROEVILLE",
            "state": "AL",
            "postal_code": "364601704",
            "telephone_number": "251-575-2648",
            "fax_number": "251-575-2647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE MANOR NURSING HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2016-03-31",
        "status": "A",
        "authorized_official_last_name": "PERRIGIN",
        "authorized_official_first_name": "ZED",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "251-575-2648",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AL",
            "license": "12646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4757130S",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monroe County Health Dept Pri Care
• Monroe County Health Dept STD
• Monroe County Health Dept VFC Immun
• Monroe County Hospital Anesthesia
• Monroe Drugs LLC (Monroe Drugs)
• Monroeville Emergency Group LLC
• Monroeville Radiation Oncology
• Montgomery Vamc
• Krista Rene Moorer, PT
• Nes Tennessee Inc

• Skilled Nursing Facility in Monroeville, AL
• Providers in Monroeville, AL by specialty
• Skilled Nursing Facility in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; 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.

Verify at the official NPI Registry.