NPIMap

Organization Active NPI

Aspire Physical Recovery Center of West Alabama, LLC

  • Skilled Nursing Facility
  • Northport, AL
National Provider Identifier
1043675580
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ASPIRE PHYSICAL RECOVERY CENTER OF WEST ALABAMA, LLC
Practice address
2400 Hospital Dr
Northport, AL 35476-3360
Phone
(205) 330-8412
NPI assigned
Dec 29, 2015
Last updated
Oct 28, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Authorized official

Name
Phillip Cody Long
Title
Vice President/Cfo
Phone
(205) 391-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X AL Primary

Addresses

Primary practice location

2400 Hospital Dr
Northport, AL 35476-3360

Mailing address

2400 Hospital Dr
Northport, AL 35476-3360
Phone (205) 330-8412

Other identifiers 1

IdentifierTypeStateIssuer
224551MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160302000160 AL Part A Provider - Skilled Nursing Facility 4587969456 Practice locations: Northport, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1043675580. Details of each certification follow.

Skilled nursing facility certification: CCN 015465

Legal name
ASPIRE PHYSICAL RECOVERY CENTER OF WEST ALABAMA, LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 8, 2016
Last certification
May 19, 2022
Beds
75
Ownership / control type
Corporation
Multi-facility organization
NORTHPORT HOLDING OPERATIONS LLC
Organization structure
LLCProprietary
Incorporated
Mar 3, 2014 in AL
Enrollment address
2400 Hospital Dr
Northport, AL 35476-3473
Nursing home name
ASPIRE PHYSICAL RECOVERY CENTER OF WEST ALABAMA
Affiliated entity
NHS MANAGEMENT

Care Compare: Nursing home

Medicare Care Compare
Listed as
Aspire Physical Recovery Center of West AlabamaCCN 015465 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jun 8, 2016
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7572.1 residents per day on average
Chain
NHS Management43 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
01D2111624Aspire Physical Recovery Ctr of West Alabama LLC2400 Hospital Drive, Northport, AL 35476Certificate of waiverApr 11, 2028

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
James Norman Estes Jr TR Organization, Vestavia, AL 5% Or Greater Indirect Ownership Interest Jan 29, 2015 4.17%
Lynn S Rasco Individual Corporate DirectorDirector of Qa/Corp Compliance Ofcr Jul 1, 2022 33%
Operational/Managerial ControlDirector of Qa/Corp Compliance Ofcr Jul 1, 2022 33%
Northport Holding, LLC Organization, Tuscaloosa, AL LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jan 29, 2015 66.67%
Keith H Shumaker Individual W-2 Managing EmployeeAdministrator Jul 24, 2023 100%
Operational/Managerial ControlAdministrator Jul 24, 2023 100%
Jennifer Lee Estes TR 031093 Organization, Vestavia, AL 5% Or Greater Indirect Ownership Interest Jan 29, 2015 4.17%
James Norman Estes Individual 5% Or Greater Indirect Ownership InterestPresident/Treasurer Jan 29, 2015 34%
Corporate OfficerPresident/Treasurer Mar 3, 2014 100%
Phillip Cody Long Individual Corporate OfficerVice President/Secretary Oct 1, 2019
Other Jan 1, 2022 32.68%
Jennifer E Agee Family Dynasty TR No 2 Organization, Tuscaloosa, AL 5% Or Greater Indirect Ownership Interest Jan 29, 2015 12.17%
Casey D Boyd Individual Corporate DirectorRegional Administrator Apr 28, 2023 33%
Operational/Managerial ControlRegional Administrator Nov 9, 2020 33%
West Alabama Health Properties LLC Organization, Tuscaloosa, AL Created for acquisition, LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Jan 29, 2015 100%
James N Estes Jr Family Dynasty TR No 2 Organization, Tuscaloosa, AL 5% Or Greater Indirect Ownership Interest Jan 29, 2015 12.17%
Regions Bank Organization, Birmingham, AL Corporation, Financial institution, For-profit 5% Or Greater Security Interest Jun 30, 2015 100%
Brandon S. Agee Individual Other Jan 1, 2022 32.68%
Marcia Duffy Individual Corporate DirectorRegional Nurse Consultant Mar 5, 2014 33%
Operational/Managerial ControlRegional Nurse Consultant Mar 5, 2014 33%
The DCH Healthcare Authority Organization, Tuscaloosa, AL 5% Or Greater Indirect Ownership Interest Jan 29, 2015 33.33%
NHS Management LLC Organization, Tuscaloosa, AL LLC, For-profit Other Mar 1, 2016
DCH Holdings, Inc. Organization, Tuscaloosa, AL Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jan 29, 2015 33.33%

Owners & managing parties with NPI records 6

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

Facilities with the same owner 47

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

View all 47

Practitioners & affiliated clinicians

Practitioners 1

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 2

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": "1451347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603843200000",
    "number": "1043675580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 HOSPITAL DR",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354763360",
            "telephone_number": "205-330-8412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 HOSPITAL DR",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354763360",
            "telephone_number": "205-330-8412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPIRE PHYSICAL RECOVERY CENTER OF WEST ALABAMA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-29",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "CODY",
        "authorized_official_title_or_position": "VICE PRESIDENT/CFO",
        "authorized_official_telephone_number": "205-391-3600"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "224551",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northport, AL

Sources for this page

Verify at the official NPI Registry.