Organization Active NPI

Cottages Russellville, LLC

  • Assisted Living Facility
  • Russellville, AL
National Provider Identifier
1396338950
Registry record updated Feb 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
COTTAGES RUSSELLVILLE, LLC
Practice address
900 Jackson Ave N
Russellville, AL 35653-1627
Phone
(256) 332-4707
NPI assigned
Feb 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2021

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

Authorized official

Name
Cheryl Westlake
Title
Operations Manager
Phone
(256) 929-7536

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

900 Jackson Ave N
Russellville, AL 35653-1627

Mailing address

900 Jackson Ave N
Russellville, AL 35653-1627
Phone (256) 332-4707

Other names 1

  • Country Cottage Doing business as

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
01D2193936Country Cottage900 Jackson Ave N, Russellville, AL 35653Certificate of waiverSep 24, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1613347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613347200000",
    "number": "1396338950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 JACKSON AVE N",
            "city": "RUSSELLVILLE",
            "state": "AL",
            "postal_code": "356531627",
            "telephone_number": "256-332-4707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 JACKSON AVE N",
            "city": "RUSSELLVILLE",
            "state": "AL",
            "postal_code": "356531627",
            "telephone_number": "256-332-4707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTTAGES RUSSELLVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-15",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A",
        "authorized_official_last_name": "WESTLAKE",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "256-929-7536"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Country Cottage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Russellville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.