NPIMap

Organization Active NPI

Crossville Health and Rehabilitation LLC

  • Skilled Nursing Facility
  • Crossville, AL
National Provider Identifier
1336200526
Registry record updated Oct 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CROSSVILLE HEALTH AND REHABILITATION LLC
Practice address
8922 Highway 227 North
Crossville, AL 35962
Phone
(256) 528-7844
NPI assigned
Dec 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2020

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

Authorized official

Name
Mr. Phillip Cody Long
Title
Vice-President
Phone
(205) 391-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

8922 Highway 227 North
Crossville, AL 35962

Mailing address

8922 Highway 227 North
Crossville, AL 35962
Phone (256) 528-7844

Other identifiers 2

IdentifierTypeStateIssuer
4754400SMedicaidAL
014226OtherALBCBS ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070219000256 AL Part A Provider - Skilled Nursing Facility 4183726383 Practice locations: Crossville, AL

Skilled nursing facility certification: CCN 015176

Legal name
CROSSVILLE HEALTH AND REHABILITATION LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 1, 1977
Last certification
Nov 4, 2021
Beds
143
Ownership / control type
Corporation
Multi-facility organization
NHS MANAGEMENT
Most recent change of ownership
Feb 1, 2007
Organization structure
LLCProprietary
Enrollment address
8922 Al Highway 227 N
Crossville, AL 35962-3272
Nursing home name
CROSSVILLE HEALTH AND REHABILITATION, LLC
Affiliated entity
NHS MANAGEMENT

Care Compare: Nursing home

Medicare Care Compare
Listed as
Crossville Health and Rehabilitation, LLCCCN 015176
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jul 1, 1977
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
143135.8 residents per day on average
Chain
NHS Management43 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Tammy Cox Individual Corporate DirectorRegional Nurse Consultant Oct 23, 2023 33%
Operational/Managerial ControlRegional Nurse Consultant Oct 23, 2023 33%
James Norman Estes Jr TR Organization, Vestavia, AL 5% Or Greater Indirect Ownership Interest Jun 30, 2013 6.25%
Lynn S Rasco Individual Corporate DirectorDirector of Qa/Corp Compliance Ofcr Jul 1, 2022 33%
Operational/Managerial ControlDirector of Qa/Corp Compliance Ofcr Jul 1, 2022 33%
Jennifer Lee Estes TR 031093 Organization, Vestavia, AL 5% Or Greater Indirect Ownership Interest Jun 30, 2013 6.25%
James Norman Estes Individual 5% Or Greater Indirect Ownership InterestPresident/Treasurer Jul 23, 2004 51%
Corporate OfficerPresident/Treasurer Jul 23, 2004 100%
Holding Facilities Group LLC Organization, Tuscaloosa, AL LLC, Holding company, For-profit 5% Or Greater Security Interest Jun 1, 2012
Phillip Cody Long Individual Corporate OfficerVice President/Secretary Oct 1, 2019
Jennifer E Agee Family Dynasty TR No 2 Organization, Tuscaloosa, AL 5% Or Greater Indirect Ownership Interest Dec 27, 2012 18.25%
Northport Holding Operations, LLC Organization, Tuscaloosa, AL LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Feb 1, 2007 100%
Sonny J Ward Individual Corporate DirectorRegional Administrator May 10, 2024 33%
Operational/Managerial ControlRegional Administrator May 10, 2024 33%
James N Estes Jr Family Dynasty TR No 2 Organization, Tuscaloosa, AL 5% Or Greater Indirect Ownership Interest Dec 27, 2012 18.25%
Crossville Health Realty, LLC Organization, Tuscaloosa, AL LLC, For-profit 5% Or Greater Security Interest Jun 1, 2012
Derek Patterson Individual Operational/Managerial Control Dec 2, 2024
Adp of the SNF Feb 4, 2025
Capital Funding LLC Organization, Baltimore, MD LLC, Financial institution, For-profit 5% Or Greater Mortgage Interest Jun 1, 2012
5% Or Greater Security Interest Jun 1, 2012
Servisfirst Bank Organization, Birmingham, AL Corporation, Financial institution, For-profit 5% Or Greater Security Interest Aug 29, 2018

Facilities with the same owner 42

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 42

Practitioners & affiliated clinicians

Practitioners 4

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

Affiliated clinicians 4

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": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602460800000",
    "number": "1336200526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8922 HIGHWAY 227 NORTH",
            "city": "CROSSVILLE",
            "state": "AL",
            "postal_code": "35962",
            "telephone_number": "256-528-7844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8922 HIGHWAY 227 NORTH",
            "city": "CROSSVILLE",
            "state": "AL",
            "postal_code": "35962",
            "telephone_number": "256-528-7844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSVILLE HEALTH AND REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "CODY",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "205-391-3600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4754400S",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID",
            "identifier": "014226",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crossville, AL

Sources for this page

Verify at the official NPI Registry.