Aliceville Manor Nursing Home, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

N5402 Issued in AL

Legal business name

ALICEVILLE MANOR NURSING HOME, INC.

Practice address

703 17TH St NW
Aliceville, AL 35442-1426

Phone

(205) 373-6307

Fax

(205) 373-2737

NPI assigned

Jun 10, 2016

Organization subpart

No

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

Authorized official

Name

Mark S Sims

Title

President

Phone

(205) 353-5290

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Skilled nursing facility certification: CCN 015137

Legal name

ALICEVILLE MANOR NURSING HOME, INC

Doing business as

ALICEVILLE MANOR NURSING HOME

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 1, 1977

Last certification

Jun 27, 2023

Beds

100

Ownership / control type

Corporation

Most recent change of ownership

Jul 1, 2016

Organization structure

CorporationProprietary

Enrollment address

703 17TH St NW
Aliceville, AL 35442-1426

Nursing home name

ALICEVILLE MANOR NURSING HOME

Affiliated entity

TRINITY MANAGEMENT, INC.

Listed as

Aliceville Manor Nursing HomeCCN 015137

Overall star rating

5 of 5

Health inspections

4 of 5

Staffing

5 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Jan 1, 1977

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

10093.1 residents per day on average

Chain

Trinity Management, Inc.5 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Locations

All disclosed owners & managing parties 11

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Harry Lee Richardson Jr., MD

  • Family Medicine Physician
  • Reform, AL
  • NPI 1780627356

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James L Parker, M.D.

  • Family Medicine Physician
  • Aliceville, AL
  • NPI 1841219391
  NPD (past)
• Harry Lee Richardson Jr., MD

  • Family Medicine Physician
  • Reform, AL
  • NPI 1780627356
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• James L Parker, M.D.

  • Family Medicine Physician
  • Aliceville, AL
  • NPI 1841219391

  Nursing home

  Care Compare affiliation
• Harry Lee Richardson Jr., MD

  • Family Medicine Physician
  • Reform, AL
  • NPI 1780627356

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465516800000",
    "number": "1407205396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 1ST AVE E",
            "city": "ONEONTA",
            "state": "AL",
            "postal_code": "351211708",
            "telephone_number": "205-625-5049",
            "fax_number": "205-625-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 17TH ST NW",
            "city": "ALICEVILLE",
            "state": "AL",
            "postal_code": "354421426",
            "telephone_number": "205-373-6307",
            "fax_number": "205-373-2737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALICEVILLE MANOR NURSING HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-10",
        "last_updated": "2016-06-10",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-353-5290"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AL",
            "license": "N5402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alabama CVS Pharmacy, L.L.C.
• Aliceville Family Practice, LLC
• Aliceville Rural Health Clinic PC
• Elizabeth Battise
• Amy Branyon Bigham, CRNP
• Frieda Blakney
• Brandice Michelle Blankensopp, CRNP

• Skilled Nursing Facility in Aliceville, AL
• Providers in Aliceville, AL by specialty
• Skilled Nursing Facility in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.