Active NPI
Geneva County Healthcare Authority, Inc.
Doing business as Wiregrass Rehabilitation Center & Nursing Home
- Skilled Nursing Facility
- Geneva, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 4772
- Legal business name
- GENEVA COUNTY HEALTHCARE AUTHORITY, INC.
- Doing business as
- Wiregrass Rehabilitation Center & Nursing Home
- Practice address
- 1200 W Maple Ave
Geneva, AL 36340-1642 - Phone
- (334) 684-3655
- NPI assigned
- Oct 10, 2006
- Last updated
- Apr 6, 2010
- 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
- Mrs. Janette Scroggins
- Title
- Administrator
- Phone
- (334) 684-3655
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 4772 | AL | Primary |
Addresses
Primary practice location
1200 W Maple Ave
Geneva, AL 36340-1642
Mailing address
1200 W Maple Ave
Geneva, AL 36340-1642
Phone (334) 684-3655
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010539 | Other | AL | BCBS |
| 4753390S | Medicaid | AL |
Other names 1
- WIREGRASS REHABILITATION CENTER & NURSING HOME
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100615000488 | AL | Part A Provider - Skilled Nursing Facility | 0244222487 | Practice locations: Geneva, AL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1144317090. Details of each certification follow.
Skilled nursing facility certification: CCN 015150
- Legal name
- GENEVA COUNTY HEALTHCARE AUTHORITY INC
- Doing business as
- WIREGRASS REHABILITATION CENTER & NURSING HOME
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Apr 1, 1977
- Last certification
- Mar 24, 2022
- Beds
- 96
- Ownership / control type
- County
- Organization structure
- Other
- Incorporated
- Mar 11, 1986 in AL
- Enrollment address
- 1200 W Maple Ave
Geneva, AL 36340-1642 - Nursing home name
- WIREGRASS REHABILITATION CENTER & NURSING HOME
Other NPIs with the same Medicare PAC ID 5
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Wiregrass Medical Center
- Certified Registered Nurse Anesthetist
- Geneva, AL
- NPI 1003943531
0244222487
-
dba Wiregrass Medical Center
- Critical Access Hospital
- Geneva, AL
- NPI 1134955370
0244222487
-
dba Samson Rural Health Clinic
- Rural Health Clinic/Center
- Samson, AL
- NPI 1508440488
0244222487
-
dba Wiregrass Medical Center ER
- Emergency Medicine Physician
- Geneva, AL
- NPI 1710752779
0244222487
-
dba Wiregrass Medical Center
- General Acute Care Hospital
- Geneva, AL
- NPI 1992755292
0244222487
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Wiregrass Rehabilitation Center & Nursing Home
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Government - County
- Certified
- Apr 1, 1977
- Medicare certification status
- Active
- Certified beds
- 96
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 |
|---|---|---|---|
| 01D2188903 | Wiregrass Rehabilitation and Nursing Home | Certificate of waiver | Jul 22, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 10
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 |
|---|---|---|---|
| Janet E Smith | W-2 Managing Employee | Jul 3, 2020 | 100% |
| David H Arnold | Corporate Director | Apr 13, 2015 | 11.11% |
| Hoyt a Childs | Corporate Officer | Jun 23, 2014 | 11.11% |
| Corporate Director | Jun 23, 2014 | 11.11% | |
| Jean a Turner | Corporate Director | Apr 20, 2022 | 11.11% |
| Lenora Simmons | Corporate Director | Jul 22, 2013 | |
| Jeremy L Williams | Corporate Director | Oct 13, 2014 | 11.11% |
| Phillip Durant | Corporate Director | Sep 9, 2013 | |
| Jonathan D Markham | Corporate Director | May 12, 2014 | 11.11% |
| Dorthea Jay | Corporate Director | Oct 1, 2016 | 11.11% |
| John Box | Corporate Director | Nov 25, 2013 | 11.11% |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
All facility ownership & control disclosures 3
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Wiregrass Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Oct 17, 2013 |
| Wiregrass Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Oct 17, 2013 |
| Samson Rural Health Clinic | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Nov 1, 2019 Nov 1, 2019 |
Owned or controlled facilities with NPI records 2
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Wiregrass Medical Center
- Critical Access Hospital
- Geneva, AL
- NPI 1134955370
5% Or Greater Direct Ownership Interest
-
dba Samson Rural Health Clinic
- Rural Health Clinic/Center
- Samson, AL
- NPI 1508440488
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
Practitioners & affiliated clinicians
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.
-
- Family Medicine Physician
- Geneva, AL
- NPI 1457312456
-
- General Practice Physician
- Geneva, AL
- NPI 1922045905
-
- Family Medicine Physician
- Geneva, AL
- NPI 1942452123
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": "1160438400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1270512000000",
"number": "1144317090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 W MAPLE AVE",
"city": "GENEVA",
"state": "AL",
"postal_code": "363401642",
"telephone_number": "334-684-3655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 W MAPLE AVE",
"city": "GENEVA",
"state": "AL",
"postal_code": "363401642",
"telephone_number": "334-684-3655"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENEVA COUNTY HEALTHCARE AUTHORITY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-10",
"last_updated": "2010-04-06",
"status": "A",
"authorized_official_last_name": "SCROGGINS",
"authorized_official_first_name": "JANETTE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "334-684-3655",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "AL",
"license": "4772",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "010539",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4753390S",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "WIREGRASS REHABILITATION CENTER & NURSING HOME",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Geneva, AL
- Geneva County Healthcare Authority Inc (Wiregrass Medical Center)
- Geneva County Healthcare Authority, Inc. (Wiregrass Medical Center)
- Geneva County Healthcare Authority, Inc.
- Geneva County Healthcare Authority, Inc.
- Geneva County Healthcare Authority, Inc. (Wiregrass Medical Center)
- Geneva County Healthcare Authority, Inc. (Wiregrass Medical Center ER)
- Geneva County Healthcare Authority, Inc. (Lifetime Health Services)
- Geneva County Healthcare Authority, Inc. (Wiregrass Medical Center)
- Geneva Emergency Room Doctors LLC
- Geneva Family Dentistry, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2010; 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.