Organization Active NPI

Camden Nursing Facility Inc

  • Nursing Care Agency
  • Camden, AL
National Provider Identifier
1356441257
Registry record updated Mar 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
CAMDEN NURSING FACILITY INC
Practice address
550 Ponderosa Dr
Camden, AL 36726-0787
Phone
(334) 682-4231
Fax
(334) 682-5224
NPI assigned
Sep 22, 2006
Last updated
Mar 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2012

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

Authorized official

Name
Mr. Eldridge B Stewart, ADMINISTRATOR
Title
Administrator
Phone
(334) 682-4231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X NU Primary

Addresses

Primary practice location

550 Ponderosa Dr
Camden, AL 36726-0787

Mailing address

550 Ponderosa Dr
P.O. Box 787
Camden, AL 36726-0787
Phone (334) 682-4231

Other identifiers 1

IdentifierTypeStateIssuer
4757170SMedicaidAL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330905600000",
    "number": "1356441257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 PONDEROSA DR",
            "address_2": "P.O. BOX 787",
            "city": "CAMDEN",
            "state": "AL",
            "postal_code": "367260787",
            "telephone_number": "334-682-4231",
            "fax_number": "334-682-5224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 PONDEROSA DR",
            "city": "CAMDEN",
            "state": "AL",
            "postal_code": "367260787",
            "telephone_number": "334-682-4231",
            "fax_number": "334-682-5224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMDEN NURSING FACILITY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2012-03-05",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "ELDRIDGE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "334-682-4231",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4757170S",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2012; 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.