Organization Active NPI

Beckwood Manor, Inc

  • Assisted Living Facility
  • Anniston, AL
National Provider Identifier
1376645218
Registry record updated Nov 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
12487 Issued in AL
Legal business name
BECKWOOD MANOR, INC
Practice address
500 Leighton Ave
Anniston, AL 36207
Phone
(256) 236-4949
Fax
(256) 236-4989
NPI assigned
Sep 1, 2006
Last updated
Nov 2, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2016

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

Authorized official

Name
Mr. William Clayton Cox Jr., LICENSED NURSING HOM
Title
Asst Administrator
Phone
(256) 236-4949

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 12487 AL Primary

Addresses

Primary practice location

500 Leighton Ave
Anniston, AL 36207

Mailing address

PO Box 1825
500 Leighton Ave
Anniston, AL 36202
Phone (256) 236-4949

Other identifiers 1

IdentifierTypeStateIssuer
47571605MedicaidAL

Other names 1

  • Beckwood Manor, Inc Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478044800000",
    "number": "1376645218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1825",
            "address_2": "500 LEIGHTON AVE",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "36202",
            "telephone_number": "256-236-4949",
            "fax_number": "256-236-4989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LEIGHTON AVE",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "36207",
            "telephone_number": "256-236-4949",
            "fax_number": "256-236-4989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BECKWOOD MANOR, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2016-11-02",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "CLAYTON",
        "authorized_official_title_or_position": "ASST ADMINISTRATOR",
        "authorized_official_telephone_number": "256-236-4949",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LICENSED NURSING HOM"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AL",
            "license": "12487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47571605",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beckwood Manor, Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Anniston, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; 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.