Gordan Oaks at Greystoke LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

GORDAN OAKS AT GREYSTOKE LLC

Doing business as

Gordon Oaks Health & Rehab

Practice address

3151A Knollwood Dr
Mobile, AL 36693-2745

Phone

(251) 661-7608

Fax

(251) 602-9146

NPI assigned

Feb 16, 2012

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 identifiers 1

Other names 1

• Gordon Oaks Health & Rehab Doing business as

Locations

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

{
    "created_epoch": "1329350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407715200000",
    "number": "1255604559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 PATROL RD",
            "address_2": "SUITE D",
            "city": "FORSYTH",
            "state": "GA",
            "postal_code": "310291800",
            "telephone_number": "478-994-3669",
            "fax_number": "478-994-3664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3151A KNOLLWOOD DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366932745",
            "telephone_number": "251-661-7608",
            "fax_number": "251-602-9146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDAN OAKS AT GREYSTOKE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-16",
        "last_updated": "2014-08-11",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4757990S",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gordon Oaks Health & Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Travis Bedsole Goodloe III, MD
• Goodwill Easter Seals of the Gulf Coast
• Miranda Goodwin, LCSW
• Rebecca Marie Goodwin, LMFT
• Timothy B Goodwin, M.D.
• Gordon Oaks Convalescent Center, Inc.
• Susan Gordon-Hickey, AU.D., PH.D.
• Amber Shea Gordon, M.D.
• James O. Gordon, DC
• Sharion Gordon, M.ED

• Skilled Nursing Facility in Mobile, AL
• Providers in Mobile, 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 Aug 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.