Cavalier Healthcare of Trussville, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CAVALIER HEALTHCARE OF TRUSSVILLE, LLC

Practice address

119 Watterson Pkwy
Trussville, AL 35173-2307

Phone

(205) 655-3226

NPI assigned

Apr 7, 2023

Organization subpart

No

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

Authorized official

Name

Brien B Hubbard

Title

Owner

Phone

(601) 602-8400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Skilled nursing facility certification: CCN 015467

Legal name

CAVALIER HEALTHCARE OF TRUSSVILLE LLC

Doing business as

CAVALIER HEALTHCARE OF TRUSSVILLE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Aug 18, 2016

Last certification

May 13, 2021

Beds

125

Ownership / control type

Corporation

Multi-facility organization

PRO HEALTH GROUP

Most recent change of ownership

May 1, 2023

Organization structure

LLCProprietary

Incorporated

Mar 20, 2023 in AL

Enrollment address

119 Watterson Pkwy
Trussville, AL 35173-2307

Nursing home name

CAVALIER HEALTHCARE OF TRUSSVILLE

Affiliated entity

CAVALIER HEALTHCARE

Listed as

Cavalier Healthcare of TrussvilleCCN 015467 · All quality measures

Overall star rating

3 of 5

Health inspections

4 of 5

Staffing

1 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Aug 18, 2016

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

125108.4 residents per day on average

Chain

Cavalier Healthcare4 facilities in the chain

Penalties (3 years)

6Fines totaling $40,486

Processed by Care Compare on Aug 1, 2026.

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.

Practitioners 1

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

• Lee T Wimberly, MD

  • Internal Medicine Physician
  • Birmingham, AL
  • NPI 1033142054
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Lee T Wimberly, MD

  • Internal Medicine Physician
  • Birmingham, AL
  • NPI 1033142054

  Nursing home

  Care Compare affiliation
• Jacquelyn S Perry, MD

  • Family Medicine Physician
  • Miramar, FL
  • NPI 1457512790

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1680825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693267200000",
    "number": "1366137044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18500",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394048460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 WATTERSON PKWY",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "351732307",
            "telephone_number": "205-655-3226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAVALIER HEALTHCARE OF TRUSSVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-07",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-02",
        "status": "A",
        "authorized_official_last_name": "HUBBARD",
        "authorized_official_first_name": "BRIEN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-602-8400"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronda Phillips Bush, NP
• Julie Cadena, MS, LPC
• Suzanne Allison Cantley, CRNP, CDE
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• Adrienne Kelley Cato, LICSW
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• Tiaesha Chestang Beville, LPTA

• Skilled Nursing Facility in Trussville, AL
• Providers in Trussville, 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 29, 2023; 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.

Verify at the official NPI Registry.