C.R. of Coosa Valley, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

C.R. OF COOSA VALLEY, LLC

Doing business as

Coosa Valley Health and Rehab

Practice address

513 Pineview Ave
Glencoe, AL 35905-1803

Phone

(256) 492-5350

Fax

(256) 492-5352

NPI assigned

Sep 10, 2014

Last updated

Sep 10, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael E Winget Sr.

Title

Manager

Phone

(478) 994-3669

Specialties & licenses 1

Addresses

Other names 1

• Coosa Valley Health and Rehab Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1053712943. Details of each certification follow.

• CCN 015174 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 015174

Legal name

C.R. OF COOSA VALLEY, LLC

Doing business as

COOSA VALLEY HEALTH AND REHAB

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jul 1, 1977

Last certification

Apr 29, 2022

Beds

124

Ownership / control type

Corporation

Multi-facility organization

C ROSS MANAGEMENT LLC

Most recent change of ownership

Dec 1, 2014

Organization structure

LLCProprietary

Incorporated

Sep 4, 2014 in GA

Enrollment address

513 Pineview Ave
Glencoe, AL 35905-1803

Listed as

Coosa Valley Health and RehabCCN 015174 · All quality measures

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

3 of 5

Quality measures

2 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

12475.3 residents per day on average

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 8

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

Owners & managing parties with NPI records 1

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

• Jimmy Adesola Oguntuyo, M.D.

  • Family Medicine Physician
  • Gadsden, AL
  • NPI 1174572754

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 3

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.

• Jimmy Adesola Oguntuyo, M.D.

  • Family Medicine Physician
  • Gadsden, AL
  • NPI 1174572754
  NPD (past)
• Kenny Smith, M.D.

  • Internal Medicine Physician
  • Gadsden, AL
  • NPI 1295736460
  NPD (past)
• Lee T Wimberly, MD

  • Internal Medicine Physician
  • Birmingham, AL
  • NPI 1033142054
  NPD (past)

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Oluwole Sunday Akisanya, M.D.

  • Internal Medicine Physician
  • Gadsden, AL
  • NPI 1467416941

  Nursing home

  Care Compare affiliation
• Jimmy Adesola Oguntuyo, M.D.

  • Family Medicine Physician
  • Gadsden, AL
  • NPI 1174572754

  Nursing home

  Care Compare affiliation
• Kenny Smith, M.D.

  • Internal Medicine Physician
  • Gadsden, AL
  • NPI 1295736460

  Nursing home

  Care Compare affiliation
• Lee T Wimberly, MD

  • Internal Medicine Physician
  • Birmingham, AL
  • NPI 1033142054

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410307200000",
    "number": "1053712943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 PINEVIEW AVE",
            "city": "GLENCOE",
            "state": "AL",
            "postal_code": "359051803",
            "telephone_number": "256-492-5350",
            "fax_number": "256-492-5352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 PINEVIEW AVE",
            "city": "GLENCOE",
            "state": "AL",
            "postal_code": "359051803",
            "telephone_number": "256-492-5350",
            "fax_number": "256-492-5352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C.R. OF COOSA VALLEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-10",
        "last_updated": "2014-09-10",
        "status": "A",
        "authorized_official_last_name": "WINGET",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "478-994-3669",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coosa Valley Health and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Coosa Nursing Adk, LLC (Coosa Valley Health Care)
• Coosa Valley SNF Operations LLC
• Carol Sue Costner, ALC
• Glencoe Family Chiropractic, LLC
• Mary Kristin Hale, D.C.

• Skilled Nursing Facility in Glencoe, AL
• Providers in Glencoe, 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 Sep 10, 2014; 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.

Verify at the official NPI Registry.