Organization Active NPI

Crowne Health Care of Thomasville,LLC

  • Skilled Nursing Facility
  • Thomasville, AL
National Provider Identifier
1023638285
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
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 ThomasvilleCCN 015220 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jul 1, 1977
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8066.4 residents per day on average
Chain
Crowne Health Care18 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D0675977Crowne Health Care of Thomasville1425 Mosley Dr, Thomasville, AL 36784Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Crowne Management, LLC Organization, Monroeville, AL LLC, Management services company, For-profit Operational/Managerial Control May 1, 2020
Diane Gatlin Individual W-2 Managing Employee May 1, 2020
John Todd Wilder Individual Corporate Director Feb 21, 2020
Joseph William Jones Individual 5% Or Greater Indirect Ownership Interest Feb 21, 2020
Corporate Officer May 1, 2020
Corporate Director Feb 21, 2020
Crowne Operations, Inc Organization, Monroeville, AL Corporation, For-profit 5% Or Greater Direct Ownership Interest May 1, 2020 100%
Kathryn Johnson Individual Other May 1, 2020
Marcus F. Manning Individual Corporate Director Feb 21, 2020
Noel Dunnam Individual Corporate Officer Feb 21, 2020
Corporate Director Feb 21, 2020
Richard B. Jones Individual 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.

View all 17

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.

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

Sources for this page

Verify at the official NPI Registry.