NPIMap

Organization Active NPI

Gulf Coast Health and Rehabilitation, LLC

  • Skilled Nursing Facility
  • Mobile, AL
National Provider Identifier
1366880783
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
GULF COAST HEALTH AND REHABILITATION, LLC
Practice address
8002 Grelot Rd
Mobile, AL 36695-8976
Phone
(251) 634-8002
Fax
(251) 445-2551
NPI assigned
Jun 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Authorized official

Name
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

8002 Grelot Rd
Mobile, AL 36695-8976

Mailing address

8002 Grelot Rd
Mobile, AL 36695-8976
Phone (251) 634-8002

Other identifiers 1

IdentifierTypeStateIssuer
152557MedicaidAL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130724000548 AL Part A Provider - Skilled Nursing Facility 6305087909 Practice locations: Mobile, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1366880783. Details of each certification follow.

Skilled nursing facility certification: CCN 015456

Legal name
GULF COAST HEALTH AND REHABILITATION LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 2, 2006
Last certification
Jan 9, 2020
Beds
100
Ownership / control type
Corporation
Multi-facility organization
NORTHPORT HEALTH SERVICES
Most recent change of ownership
Jul 1, 2013
Organization structure
LLCProprietary
Incorporated
Mar 29, 2013 in AL
Enrollment address
8002 Grelot Rd
Mobile, AL 36695-8976
Nursing home name
GULF COAST HEALTH AND REHABILITATION, LLC
Affiliated entity
NHS MANAGEMENT

Care Compare: Nursing home

Medicare Care Compare
Listed as
Gulf Coast Health and Rehabilitation, LLCCCN 015456 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Aug 2, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10093.7 residents per day on average
Chain
NHS Management43 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2066635Gulf Coast Health and Rehabilitation LLC8002 Grelot Road, Mobile, AL 36695Certificate of waiverSep 30, 2027

National Provider Directory

National Provider Directory
Tax ID family
Cogburn Health and Rehabilitation - West Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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
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 InterestIndirect Owner Mar 29, 2013 51%
Corporate OfficerPresident/Treasurer Mar 29, 2013 100%
Holding Facilities Group LLC Organization, Tuscaloosa, AL LLC, Holding company, For-profit 5% Or Greater Security Interest Jul 1, 2013
Starann Macdonald-Lamier Individual Corporate DirectorRegional Administrator Aug 28, 2023 33%
Managing Control - Governing BodyBoard Member Aug 28, 2023
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 Mar 29, 2013 18.25%
Northport Holding Operations, LLC Organization, Tuscaloosa, AL LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Mar 29, 2013 100%
Gulf Coast Health Realty LLC Organization, Tuscaloosa, AL LLC, For-profit 5% Or Greater Security Interest Jul 1, 2013
Alice P. Simmons Individual Corporate DirectorRegional Nurse Consultant Jan 22, 2024 33%
Operational/Managerial ControlRegional Nurse Consultant Jan 22, 2024 33%
James N Estes Jr Family Dynasty TR No 2 Organization, Tuscaloosa, AL 5% Or Greater Indirect Ownership Interest Mar 29, 2013 18.25%
Capital Funding LLC Organization, Baltimore, MD LLC, Financial institution, For-profit 5% Or Greater Mortgage Interest Jul 1, 2013
5% Or Greater Security Interest Jul 1, 2013
Maanami Irving Ransome Individual Operational/Managerial Control Apr 8, 2024
Adp of the SNF Jan 31, 2025
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 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.

Affiliated clinicians 2

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": "1370563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603843200000",
    "number": "1366880783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8002 GRELOT RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366958976",
            "telephone_number": "251-634-8002",
            "fax_number": "251-445-2551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8002 GRELOT RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366958976",
            "telephone_number": "251-634-8002",
            "fax_number": "251-445-2551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST HEALTH AND REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-07",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "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"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152557",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.