NPIMap

Organization Active NPI

Summerford Health and Rehab LLC

  • Skilled Nursing Facility
  • Falkville, AL
National Provider Identifier
1376158048
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SUMMERFORD HEALTH AND REHAB LLC
Practice address
4087 Highway 31 SW
Falkville, AL 35622-6319
Phone
(256) 784-5275
Fax
(256) 784-5852
NPI assigned
Sep 10, 2020
Last updated
Sep 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

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

Authorized official

Name
Shalom Lerner
Title
Manager
Phone
(347) 372-6897

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

4087 Highway 31 SW
Falkville, AL 35622-6319

Mailing address

4087 Highway 31 SW
Falkville, AL 35622-6319
Phone (256) 784-5275

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210127003624 AL Part A Provider - Skilled Nursing Facility 1759795057 Practice locations: Falkville, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1376158048. Details of each certification follow.

Skilled nursing facility certification: CCN 015075

Legal name
SUMMERFORD HEALTH AND REHAB LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 19, 1967
Last certification
Sep 15, 2023
Beds
216
Ownership / control type
Individual
Multi-facility organization
ESSENTIAL HEALTH GROUP
Organization structure
LLCProprietary
Incorporated
in AL
Enrollment address
4087 Highway 31 SW
Falkville, AL 35622-6319
Nursing home name
SUMMERFORD HEALTH AND REHAB, LLC

Care Compare: Nursing home

Medicare Care Compare
Listed as
Summerford Health and Rehab, LLCCCN 015075 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
Apr 19, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
216133.0 residents per day on average
Penalties (3 years)
3Fines totaling $25,568

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
01D0641594Summerford Health and Rehab4087 Highway 31 SW, Falkville, AL 35622Certificate of waiverMar 31, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
SF Soco Holdings LLC Organization, Brooklyn, NY Created for acquisition, LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Jan 1, 2020 100%
SFL Holdco LLC Organization, Brooklyn, NY Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Jan 1, 2021
Shalom Lerner Individual Corporate Officer346783282 Jan 1, 2021
W-2 Managing Employee Jan 1, 2021
SFK Holdco LLC Organization, Brooklyn, NY Created for acquisition, LLC, For-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2021 50%

Practitioners & affiliated clinicians

Practitioners 1

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 1

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": "1599696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599696000000",
    "number": "1376158048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4087 HIGHWAY 31 SW",
            "city": "FALKVILLE",
            "state": "AL",
            "postal_code": "356226319",
            "telephone_number": "256-784-5275",
            "fax_number": "256-784-5852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4087 HIGHWAY 31 SW",
            "city": "FALKVILLE",
            "state": "AL",
            "postal_code": "356226319",
            "telephone_number": "256-784-5275",
            "fax_number": "256-784-5852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMERFORD HEALTH AND REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-10",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A",
        "authorized_official_last_name": "LERNER",
        "authorized_official_first_name": "SHALOM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "347-372-6897"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falkville, AL

Sources for this page

Verify at the official NPI Registry.