Organization Active NPI

Burns Nursing Home, Inc.

  • Skilled Nursing Facility
  • Russellville, AL
National Provider Identifier
1164496691
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BURNS NURSING HOME, INC.
Practice address
701 Monroe St NW
Russellville, AL 35653-1358
Phone
(256) 332-4110
Fax
(256) 332-4163
NPI assigned
Feb 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Authorized official

Name
Mark S Dearman, N.H.A.
Title
Administrator
Phone
(256) 332-4110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

701 Monroe St NW
Russellville, AL 35653-1358

Mailing address

701 Monroe St NW
Russellville, AL 35653-1358
Phone (256) 332-4110

Other identifiers 1

IdentifierTypeStateIssuer
47-50090SMedicaidAL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120411000673 AL Part A Provider - Skilled Nursing Facility 0244359412 Practice locations: Russellville, AL

Skilled nursing facility certification: CCN 015009

Legal name
BURNS NURSING HOME, INC.
Doing business as
BURNS NURSING HOME INC
Certification status
Active
Provider type (POS)
Nursing home โ€“ SNF/NF dual certification
Participating since
Sep 1, 1969
Last certification
Mar 2, 2023
Beds
57
Ownership / control type
Corporation
Organization structure
CorporationProprietary
Incorporated
Sep 1, 1969 in AL
Enrollment address
701 Monroe St NW
Russellville, AL 35653-1358
Nursing home name
BURNS NURSING HOME, INC.

Care Compare: Nursing home

Medicare Care Compare
Listed as
Burns Nursing Home, Inc.CCN 015009 ยท All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Sep 1, 1969
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5751.6 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Mark S Dearman Individual Corporate OfficerPresident Dec 26, 2019
OtherAdministrator Jun 13, 2011 4.5%
Cameron S Dearman Individual 5% Or Greater Direct Ownership Interest Jan 25, 2012 4.5%
Corporate OfficerAdministrator Dec 26, 2019
Martha B Dearman Individual 5% Or Greater Direct Ownership Interest Sep 1, 1969 81%
Corporate OfficerAssistant Administrator, Vice PR Sep 1, 1969 100%
Corporate DirectorAssistant Administrator, Vice PR Sep 7, 1969 100%
W-2 Managing EmployeeAssistant Administrator, Vice PR Sep 1, 1969 100%

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1139788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724889600000",
    "number": "1164496691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 MONROE ST NW",
            "city": "RUSSELLVILLE",
            "state": "AL",
            "postal_code": "356531358",
            "telephone_number": "256-332-4110",
            "fax_number": "256-332-4163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 MONROE ST NW",
            "city": "RUSSELLVILLE",
            "state": "AL",
            "postal_code": "356531358",
            "telephone_number": "256-332-4110",
            "fax_number": "256-332-4163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURNS NURSING HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-13",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A",
        "authorized_official_last_name": "DEARMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "256-332-4110",
        "authorized_official_credential": "N.H.A."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47-50090S",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Russellville, AL

Sources for this page

Verify at the official NPI Registry.