Active NPI
Crowne Health Care of Thomasville,LLC
- Skilled Nursing Facility
- Thomasville, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- CROWNE HEALTH CARE OF THOMASVILLE,LLC
- Practice address
- 1425 Mosley Dr
Thomasville, AL 36784-3334 - Phone
- (334) 636-5614
- NPI assigned
- Apr 17, 2020
- Last updated
- Mar 6, 2024
- 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
- Noel Dunnam
- Title
- Cfo
- Phone
- (251) 743-7137
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
1425 Mosley Dr
Thomasville, AL 36784-3334
Mailing address
1425 Mosley Dr
Thomasville, AL 36784-3334
Phone (334) 636-5614
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200608003071 | AL | Part A Provider - Skilled Nursing Facility | 3072934595 | Practice locations: Thomasville, AL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1023638285. Details of each certification follow.
Skilled nursing facility certification: CCN 015220
- Legal name
- CROWNE HEALTH CARE OF THOMASVILLE,LLC
- Doing business as
- CROWNE HEALTH CARE OF THOMASVILLE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 1, 1977
- Last certification
- Dec 9, 2021
- Beds
- 80
- Ownership / control type
- Corporation
- Multi-facility organization
- CROWNE MANAGEMENT
- Organization structure
- LLC
- Enrollment address
- 1425 Mosley Dr
Thomasville, AL 36784-3334 - Nursing home name
- CROWNE HEALTH CARE OF THOMASVILLE
- Affiliated entity
- CROWNE HEALTH CARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Crowne Health Care of Thomasville
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jul 1, 1977
- Medicare certification status
- Active
- Certified beds
- 80
- Chain
- Crowne Health Care
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 |
|---|---|---|---|
| 01D0675977 | Crowne Health Care of Thomasville | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 9
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 |
|---|---|---|---|
| Crowne Management, LLC | Operational/Managerial Control | May 1, 2020 | |
| Diane Gatlin | W-2 Managing Employee | May 1, 2020 | |
| John Todd Wilder | Corporate Director | Feb 21, 2020 | |
| Joseph William Jones | 5% Or Greater Indirect Ownership Interest | Feb 21, 2020 | |
| Corporate Officer | May 1, 2020 | ||
| Corporate Director | Feb 21, 2020 | ||
| Crowne Operations, Inc | 5% Or Greater Direct Ownership Interest | May 1, 2020 | 100% |
| Kathryn Johnson | Other | May 1, 2020 | |
| Marcus F. Manning | Corporate Director | Feb 21, 2020 | |
| Noel Dunnam | Corporate Officer | Feb 21, 2020 | |
| Corporate Director | Feb 21, 2020 | ||
| Richard B. Jones | Corporate Officer | Feb 21, 2020 | |
| Corporate Director | Feb 21, 2020 |
Facilities with the same owner 17
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Nursing Facility/Intermediate Care Facility
- Atmore, AL
- NPI 1740249200
Crowne Management, LLC, Crowne Operations, Inc
-
- Nursing Facility/Intermediate Care Facility
- Alexander City, AL
- NPI 1972562536
Crowne Management, LLC, Crowne Operations, Inc
-
- Skilled Nursing Facility
- Citronelle, AL
- NPI 1730530130
Crowne Management, LLC, Crowne Operations, Inc
-
- Nursing Facility/Intermediate Care Facility
- Eufaula, AL
- NPI 1043279532
Crowne Management, LLC, Crowne Operations, Inc
-
- Nursing Facility/Intermediate Care Facility
- Fort Payne, AL
- NPI 1508825076
Crowne Management, LLC, Crowne Operations, Inc
-
- Nursing Facility/Intermediate Care Facility
- Greenville, AL
- NPI 1053370544
Crowne Management, LLC, Crowne Operations, Inc
-
- Nursing Facility/Intermediate Care Facility
- Mobile, AL
- NPI 1154380632
Crowne Management, LLC, Crowne Operations, Inc
-
- Nursing Facility/Intermediate Care Facility
- Montgomery, AL
- NPI 1679532238
Crowne Management, LLC, Crowne Operations, Inc
-
- Skilled Nursing Facility
- Bay Minette, AL
- NPI 1679280796
Crowne Management, LLC, Crowne Operations, Inc
-
dba Crowne Health Care of Springhill, LLC
- Skilled Nursing Facility
- Mobile, AL
- NPI 1396068557
Crowne Management, LLC, Crowne Operations, Inc
-
- Nursing Facility/Intermediate Care Facility
- Monroeville, AL
- NPI 1164481826
Crowne Management, LLC, Crowne Operations, Inc
-
- Nursing Facility/Intermediate Care Facility
- Evergreen, AL
- NPI 1285693762
Crowne Management, LLC, Crowne Operations, Inc
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Family Medicine Physician
- Grove Hill, AL
- NPI 1649452301
-
- Family Medicine Physician
- Thomasville, AL
- NPI 1861498255
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": "1587081600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709683200000",
"number": "1023638285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1425 MOSLEY DR",
"city": "THOMASVILLE",
"state": "AL",
"postal_code": "367843334",
"telephone_number": "334-636-5614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 MOSLEY DR",
"city": "THOMASVILLE",
"state": "AL",
"postal_code": "367843334",
"telephone_number": "334-636-5614"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CROWNE HEALTH CARE OF THOMASVILLE,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-04-17",
"last_updated": "2024-03-06",
"certification_date": "2024-03-06",
"status": "A",
"authorized_official_last_name": "DUNNAM",
"authorized_official_first_name": "NOEL",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "251-743-7137"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Thomasville, AL
- Clarke County Family Medicine LLC
- Clarke County Family Practice LLC
- Clarke County Healthcare LLC (Southwest Alabama Medical Center)
- Clarke County Internal Medicine LLC (Clarke County Internal Medicine)
- Clarke County Medical Group LLC
- Thakorbhai B Darji, M.D.
- De'Ja Danielle Davis, CRNP
- Terry Lynn Davis, RPH
- Directions
- Daveta Best Dozier, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.