Active NPI
Georgiana Health and Rehabilitation, LLC
- Skilled Nursing Facility
- Georgiana, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- GEORGIANA HEALTH AND REHABILITATION, LLC
- Practice address
- 206 S Palmer Ave
Georgiana, AL 36033-3300 - Phone
- (334) 376-2267
- NPI assigned
- May 28, 2006
- 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
- Phillip Cody Long
- Title
- Cfo
- Phone
- (205) 391-3600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
206 S Palmer Ave
Georgiana, AL 36033-3300
Mailing address
206 S Palmer Ave
Georgiana, AL 36033-3300
Phone (334) 376-2267
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4754540S | Medicaid | AL | |
| 014227 | Other | AL | BCBS ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030701000002 | AL | Part A Provider - Skilled Nursing Facility | 5597675587 | Practice locations: Georgiana, AL |
Skilled nursing facility certification: CCN 015182
- Legal name
- GEORGIANA HEALTH AND REHABILITATION, LLC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Aug 1, 1977
- Last certification
- Dec 5, 2019
- Beds
- 91
- Ownership / control type
- Corporation
- Multi-facility organization
- NHS MANAGEMENT
- Most recent change of ownership
- Jul 1, 2003
- Organization structure
- LLC
- Incorporated
- Apr 28, 2003 in AL
- Enrollment address
- 206 S Palmer Ave
Georgiana, AL 36033-3300 - Nursing home name
- GEORGIANA HEALTH AND REHABILITATION, LLC
- Affiliated entity
- NHS MANAGEMENT
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Georgiana Health and Rehabilitation, LLC
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Aug 1, 1977
- Medicare certification status
- Active
- Certified beds
- 91
- Chain
- NHS Management
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 |
|---|---|---|---|
| 01D0303816 | Georgiana Health and Rehabilitation LLC | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
206 N Palmer Ave
Georgiana, AL 36033
206 N Palmer Ave
#2
Georgiana, AL 36033
Phone (334) 376-2267
Ownership & related parties
All disclosed owners & managing parties 15
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 |
|---|---|---|---|
| James Norman Estes Jr TR | 5% Or Greater Indirect Ownership Interest | Apr 28, 2003 | 5.32% |
| Lynn S Rasco | Corporate Director | Jul 1, 2022 | 33% |
| Operational/Managerial Control | Jul 1, 2022 | 33% | |
| NHS Facilities Group LLC | 5% Or Greater Security Interest | May 1, 2022 | |
| Jennifer Lee Estes TR 031093 | 5% Or Greater Indirect Ownership Interest | Apr 28, 2003 | 5.32% |
| Matilda Hartley | W-2 Managing Employee | Jul 20, 2015 | 100% |
| Operational/Managerial Control | Jul 20, 2015 | 100% | |
| James Norman Estes | 5% Or Greater Indirect Ownership Interest | Apr 23, 2003 | 89.36% |
| Corporate Officer | Apr 28, 2003 | 100% | |
| NHS Operations LLC | 5% Or Greater Direct Ownership Interest | Apr 28, 2003 | 100% |
| Starann Macdonald-Lamier | Corporate Director | Aug 28, 2023 | 33% |
| Operational/Managerial Control | Aug 28, 2023 | 33% | |
| Phillip Cody Long | Corporate Officer | Oct 1, 2019 | |
| Other | Jan 1, 2022 | 10.64% | |
| Alice P. Simmons | Corporate Director | Jan 22, 2024 | 33% |
| Operational/Managerial Control | Jan 22, 2024 | 33% | |
| Georgiana Health Realty, LLC | 5% Or Greater Security Interest | Oct 8, 2008 | |
| Regions Bank | 5% Or Greater Security Interest | Aug 27, 2012 | |
| Brandon S. Agee | Other | Jan 1, 2022 | 10.64% |
| NHS Management LLC | Other | Jun 1, 2007 | |
| Servisfirst Bank | 5% Or Greater Security Interest | May 1, 2022 |
Facilities with the same owner 40
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Mobile, AL
- NPI 1770921199
James Norman Estes Jr TR, Jennifer Lee Estes TR 031093
-
- Skilled Nursing Facility
- Vestavia, AL
- NPI 1679027841
James Norman Estes Jr TR, Jennifer Lee Estes TR 031093
-
- Skilled Nursing Facility
- Hoover, AL
- NPI 1285038398
James Norman Estes Jr TR, Jennifer Lee Estes TR 031093
-
- Skilled Nursing Facility
- Northport, AL
- NPI 1043675580
James Norman Estes Jr TR, Jennifer Lee Estes TR 031093
-
- Skilled Nursing Facility
- Athens, AL
- NPI 1790158418
James Norman Estes Jr TR, Jennifer Lee Estes TR 031093
-
- Skilled Nursing Facility
- Birmingham, AL
- NPI 1255387379
James Norman Estes Jr TR, Jennifer Lee Estes TR 031093, NHS Operations LLC
-
- Skilled Nursing Facility
- Columbiana, AL
- NPI 1134176795
James Norman Estes Jr TR, Jennifer Lee Estes TR 031093
-
- Skilled Nursing Facility
- Crossville, AL
- NPI 1336200526
James Norman Estes Jr TR, Jennifer Lee Estes TR 031093
-
- Skilled Nursing Facility
- Florala, AL
- NPI 1558318196
James Norman Estes Jr TR, Jennifer Lee Estes TR 031093
-
- Skilled Nursing Facility
- Northport, AL
- NPI 1740237411
James Norman Estes Jr TR, Jennifer Lee Estes TR 031093, NHS Operations LLC
-
- Skilled Nursing Facility
- Mobile, AL
- NPI 1366880783
James Norman Estes Jr TR, Jennifer Lee Estes TR 031093
-
- Skilled Nursing Facility
- Northport, AL
- NPI 1750338547
James Norman Estes Jr TR, Jennifer Lee Estes TR 031093, NHS Operations LLC
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Luverne, AL
- NPI 1760418438
-
- Internal Medicine Physician
- Georgiana, AL
- NPI 1144239450
Affiliated clinicians 1
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": "1148774400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1601510400000",
"number": "1023065737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 S PALMER AVE",
"city": "GEORGIANA",
"state": "AL",
"postal_code": "360333300",
"telephone_number": "334-376-2267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 S PALMER AVE",
"city": "GEORGIANA",
"state": "AL",
"postal_code": "360333300",
"telephone_number": "334-376-2267"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GEORGIANA HEALTH AND REHABILITATION, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-28",
"last_updated": "2020-10-01",
"certification_date": "2020-10-01",
"status": "A",
"authorized_official_last_name": "LONG",
"authorized_official_first_name": "PHILLIP",
"authorized_official_middle_name": "CODY",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "205-391-3600"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4754540S",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS ID",
"identifier": "014227",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Georgiana, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; 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.