Active NPI
Westside Terrace, LLC
Doing business as Westside Terrace Health & Rehabilitation Center
- Skilled Nursing Facility
- Dothan, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 10540
- Legal business name
- WESTSIDE TERRACE, LLC
- Doing business as
- Westside Terrace Health & Rehabilitation Center
- Practice address
- 501 N Woodburn Dr
Dothan, AL 36303-1995 - Phone
- (334) 794-1000
- Fax
- (334) 794-5287
- NPI assigned
- Nov 30, 2005
- 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. Rhonda Renee Tate
- Title
- Comptroller
- Phone
- (334) 794-1000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 10540 | AL | Primary |
Addresses
Primary practice location
501 N Woodburn Dr
Dothan, AL 36303-1995
Mailing address
501 N Woodburn Dr
Dothan, AL 36303-1995
Phone (334) 794-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4757960S | Medicaid | AL |
Other names 1
- WESTSIDE TERRACE HEALTH & REHABILITATION CENTER
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100512000768 | AL | Part A Provider - Skilled Nursing Facility | 5294630372 | Practice locations: Dothan, AL |
Skilled nursing facility certification: CCN 015425
- Legal name
- WESTSIDE TERRACE, LLC
- Doing business as
- WESTSIDE TERRACE HEALTH & REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Sep 22, 1993
- Last certification
- Jul 29, 2022
- Beds
- 165
- Ownership / control type
- Corporation
- Multi-facility organization
- TURENNE ASSOCIATES
- Most recent change of ownership
- Jan 1, 2004
- Organization structure
- LLC
- Enrollment address
- 501 N Woodburn Dr
Dothan, AL 36303-1995 - Nursing home name
- WESTSIDE TERRACE HEALTH & REHABILITATION CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Westside Terrace Health & Rehabilitation Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Sep 22, 1993
- Medicare certification status
- Active
- Certified beds
- 165
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 |
|---|---|---|---|
| 01D0874505 | Westside Terrace | Certificate of waiver | Aug 10, 2027 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 11
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 |
|---|---|---|---|
| Adp of the SNF | Apr 10, 2025 | ||
| Emily H Walls | Corporate Director | Jan 1, 2011 | 100% |
| Operational/Managerial Control | Jan 1, 2011 | ||
| Adp of the SNF | Jan 1, 2010 | ||
| Kristie Hughes | Operational/Managerial Control | Jan 1, 2010 | |
| Adp of the SNF | Jan 1, 2010 | ||
| Adp of the SNF | Apr 10, 2025 | ||
| Turenne & Associates LLC | Operational/Managerial Control | Jan 1, 2010 | |
| Adp of the SNF | Apr 10, 2025 | ||
| Virginia McMillian | Adp of the SNF | Jan 1, 2010 | |
| Calvin L. Reid | Operational/Managerial Control | Jan 1, 2010 | |
| Adp of the SNF | Jan 1, 2010 | ||
| Roger W Turenne | Corporate Director | Jan 1, 2012 | 30% |
| Adp of the SNF | Jul 1, 2021 | ||
| Direct Ownership Interest | Jul 1, 2021 | 30% | |
| William Turenne | Corporate Director | Jan 1, 2012 | 70% |
| Adp of the SNF | Jul 1, 2021 | ||
| Direct Ownership Interest | Jul 1, 2021 | 70% | |
| Adp of the SNF | Mar 15, 2010 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Dothan, AL
- NPI 1720081888
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 1
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Capitol Hill Healthcare Center
- Skilled Nursing Facility
- Montgomery, AL
- NPI 1942207113
Turenne & Associates LLC
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Dothan, AL
- NPI 1720081888
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": "1133308800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1269820800000",
"number": "1225012636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 N WOODBURN DR",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363031995",
"telephone_number": "334-794-1000",
"fax_number": "334-794-5287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 N WOODBURN DR",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363031995",
"telephone_number": "334-794-1000",
"fax_number": "334-794-5287"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTSIDE TERRACE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-30",
"last_updated": "2010-03-29",
"status": "A",
"authorized_official_last_name": "TATE",
"authorized_official_first_name": "RHONDA",
"authorized_official_middle_name": "RENEE",
"authorized_official_title_or_position": "COMPTROLLER",
"authorized_official_telephone_number": "334-794-1000",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "AL",
"license": "10540",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4757960S",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "WESTSIDE TERRACE HEALTH & REHABILITATION CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.