Active NPI
Cottages Russellville, LLC
- Assisted Living Facility
- Russellville, AL
National Provider Identifier
1396338950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D2193936 | Country Cottage | Certificate of waiver | Sep 24, 2026 |
National Provider Directory
National Provider DirectoryNPI 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.