Active NPI
Beckwood Manor, Inc
- Assisted Living Facility
- Anniston, AL
National Provider Identifier
1376645218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 12487
- 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, 2016
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47571605 | Medicaid | AL |
Other names 1
- Beckwood Manor, Inc
National Provider Directory
National Provider DirectoryNPI 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.