Sylacauga Health Care Authority

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

12679 Issued in AL

Legal business name

SYLACAUGA HEALTH CARE AUTHORITY

Doing business as

Coosa Valley Nursing Home

Practice address

315 W Hickory St
Sylacauga, AL 35150-2913

Phone

(256) 249-5690

NPI assigned

Oct 6, 2006

Last updated

Apr 29, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Vanessa Green

Title

VP Senior Services and Continuum MG

Phone

(256) 249-5690

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Coosa Valley Nursing Home Doing business as

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1366539538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W HICKORY ST",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351502913",
            "telephone_number": "256-249-5690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W HICKORY ST",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351502913",
            "telephone_number": "256-249-5690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYLACAUGA HEALTH CARE AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "VP SENIOR SERVICES AND CONTINUUM MG",
        "authorized_official_telephone_number": "256-249-5690",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AL",
            "license": "12679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4750100S",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coosa Valley Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sylacauga Deluxe Cab Co., Inc.
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• Sylacauga Health & Rehab Services, Inc. (Sylacauga Health Care Center)
• Sylacauga Health and Rehab Services, LLC (Sylacauga Health and Rehab Services)
• Sylacauga Health Care Authority (Coosa Valley Hospice)
• Sylacauga Health Care Authority (CVMC Anesthesia)
• Sylacauga Health Care Authority Inc (Coosa Valley Medical Center Pharmacy)
• Sylacauga Health Care Authority Inc (Coosa Valley Medical Center)
• Sylacauga Healthcare Authority (Coosa Valley Home Care)

• Skilled Nursing Facility in Sylacauga, AL
• Providers in Sylacauga, 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 Apr 29, 2008; 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.