Wheat Nursing Home Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

4754610S Issued in AL

Legal business name

WHEAT NURSING HOME INC

Doing business as

Aliceville Manor Nursing Home

Practice address

703 17TH St NW
Aliceville, AL 35442-1426

Phone

(205) 373-6307

Fax

(205) 373-2737

NPI assigned

Jul 1, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Mark Evan Wheat, LNHA

Title

Administrator/Owner

Phone

(205) 373-6307

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Aliceville Manor Nursing Home Doing business as

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1043217375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 17TH ST NW",
            "city": "ALICEVILLE",
            "state": "AL",
            "postal_code": "354421426",
            "telephone_number": "205-373-6307",
            "fax_number": "205-373-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 17TH ST NW",
            "city": "ALICEVILLE",
            "state": "AL",
            "postal_code": "354421426",
            "telephone_number": "205-373-6307",
            "fax_number": "205-373-2737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHEAT NURSING HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-01",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "WHEAT",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "EVAN",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "205-373-6307",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AL",
            "license": "4754610S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4754610S",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aliceville Manor Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anna Carter Stevens
• Nicholas J. Tolstick IV, DPT
• Whatley Health Services, Inc. (Whatley Health Services at Aliceville)
• Whatley Health Services, Inc. (Aliceville Student Health and Wellness Center)
• Whatley Health Services, Inc. (Aliceville Health and Wellness Center)
• Carolyn Faye White
• David Lynn Williams, M.D.
• Chineqwa Wilson

• Skilled Nursing Facility in Aliceville, AL
• Providers in Aliceville, 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 Apr 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.