Active NPI
Mitchell-Hollingsworth Nursing & Rehab Center
- Skilled Nursing Facility
- Florence, AL
National Provider Identifier
1295722882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 10581
- Legal business name
- MITCHELL-HOLLINGSWORTH NURSING & REHAB CENTER
- Practice address
- 805 Flagg Cir
Florence, AL 35630-3362 - Phone
- (256) 740-5400
- Fax
- (256) 740-5471
- NPI assigned
- Sep 29, 2005
- Organization subpart
- Yes
- Parent organization
- MITCHELL-HOLLINGSWORTH NURSING AND REHAB
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Donna Johnson, RHIT
- Title
- Director/Medical Records
- Phone
- (256) 740-5400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 10581 | AL | Primary |
Addresses
Primary practice location
805 Flagg Cir
Florence, AL 35630-3362
Mailing address
805 Flagg Cir
Florence, AL 35630-3362
Phone (256) 740-5400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4750330S | Medicaid | AL |
Other names 1
- Mitchell-Hollingsworth Nursing
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060420000272 | AL | Part A Provider - Skilled Nursing Facility | 9830108752 | Practice locations: Florence, AL |
Skilled nursing facility certification: CCN 015031
- Legal name
- MITCHELL-HOLLINGSWORTH NURSING & REHAB CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1967
- Last certification
- Sep 5, 2019
- Beds
- 222
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Preston Health Services
- Organization structure
- LLC
- Incorporated
- May 17, 2002 in AL
- Enrollment address
- 805 Flagg Cir
Florence, AL 35630-3362 - Nursing home name
- MITCHELL-HOLLINGSWORTH NURSING & REHABILITATION
- Affiliated entity
- PRESTON HEALTH SERVICES
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Mitchell-Hollingsworth Nursing & Rehabilitation
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jan 1, 1967
- Medicare certification status
- Active
- Certified beds
- 222
- Chain
- Preston Health Services
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 |
|---|---|---|---|
| 01D0676398 | Mitchell-Hollingsworth Nursing and Rehab Ctr LLC | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider Directory- Part of
- Mitchell-Hollingsworth Nursing Rehab Center
Ownership & related parties
All disclosed owners & managing parties 2
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 |
|---|---|---|---|
| Kenneth E Rose | Contracted Managing Employee | Jan 1, 2023 | |
| James P. Walker | 5% Or Greater Direct Ownership Interest | Jul 1, 2002 | 100% |
| Operational/Managerial Control | Jul 1, 2002 |
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
- Muscle Shoals, AL
- NPI 1215921978
Contracted Managing Employee
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Florence, AL
- NPI 1043570617
-
- Internal Medicine Physician
- Florence, AL
- NPI 1235512591
-
- Family Medicine Physician
- Florence, AL
- NPI 1346597804
-
- Internal Medicine Physician
- Muscle Shoals, AL
- NPI 1215921978
Affiliated clinicians 8
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": "1127952000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1187308800000",
"number": "1295722882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 FLAGG CIR",
"city": "FLORENCE",
"state": "AL",
"postal_code": "356303362",
"telephone_number": "256-740-5400",
"fax_number": "256-740-5471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 FLAGG CIR",
"city": "FLORENCE",
"state": "AL",
"postal_code": "356303362",
"telephone_number": "256-740-5400",
"fax_number": "256-740-5471"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MITCHELL-HOLLINGSWORTH NURSING & REHAB CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MITCHELL-HOLLINGSWORTH NURSING AND REHAB",
"enumeration_date": "2005-09-29",
"last_updated": "2007-08-17",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "DONNA",
"authorized_official_title_or_position": "DIRECTOR/MEDICAL RECORDS",
"authorized_official_telephone_number": "256-740-5400",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RHIT"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "AL",
"license": "10581",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4750330S",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Mitchell-Hollingsworth Nursing",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Florence, AL
- Miranda Ainsworth D/B/a Stepping Stone Pediatric Therapy, LLC
- Aubrey S Miree IV, ATC LAT
- Anand Donald Mishra, M.D.
- Mission of Mercy, Inc. (Moms, Inc.)
- Mitchell Internal Medicine Clinic
- Erin Sprinkle Mitchell, CRNP
- Ira Lyman Mitchell Jr., M.D.
- Michael T Mitchell, MD
- Taya Michelle Mitchell
- Tonia Trina Mitchell, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2007; 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.