Andalusia Manor LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

ANDALUSIA MANOR LLC

Practice address

670 Moore Rd
Andalusia, AL 36420

Phone

(334) 222-4544

Fax

(334) 222-4737

NPI assigned

Oct 17, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Sal-Lee Sha-Ree Sasser

Title

Vice-President

Phone

(334) 222-4544

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Skilled nursing facility certification: CCN 015416

Legal name

ANDALUSIA MANOR LLC

Doing business as

ANDALUSIA MANOR

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Apr 17, 1991

Last certification

Jan 4, 2024

Beds

154

Ownership / control type

Limited Liability Corporation

Most recent change of ownership

Jan 1, 2004

Organization structure

LLCProprietary

Enrollment address

670 Moore Rd
Andalusia, AL 36420-5299

Nursing home name

ANDALUSIA MANOR

Listed as

Andalusia ManorCCN 015416

Overall star rating

4 of 5

Health inspections

3 of 5

Staffing

5 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Apr 17, 1991

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

15493.2 residents per day on average

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 13

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.

• Joanne Holliday Smith, D.O.

  • Family Medicine Physician
  • Andalusia, AL
  • NPI 1104821099

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Southland Nursing Home, LLC

  • Skilled Nursing Facility
  • Marion, AL
  • NPI 1114002227

  Sasser Enterprises Inc

  CMS ownership
• The Pines of Camden LLC

  • Skilled Nursing Facility
  • Camden, AL
  • NPI 1649002882

  Sasser Enterprises Inc

  CMS ownership

Practitioners 4

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

• Rex Allen Butler, M.D.

  • Internal Medicine Physician
  • Andalusia, AL
  • NPI 1730184961
  NPD (past)
• James Corbin Ferguson, DO

  • Family Medicine Physician
  • Andalusia, AL
  • NPI 1598384703
  NPD (past)
• John F Maddox, MD

  • Family Medicine Physician
  • Andalusia, AL
  • NPI 1477575868
  NPD (past)
• Joanne Holliday Smith, D.O.

  • Family Medicine Physician
  • Andalusia, AL
  • NPI 1104821099
  NPD (past)

Affiliated clinicians 4

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

• Rex Allen Butler, M.D.

  • Internal Medicine Physician
  • Andalusia, AL
  • NPI 1730184961

  Nursing home

  Care Compare affiliation
• James Corbin Ferguson, DO

  • Family Medicine Physician
  • Andalusia, AL
  • NPI 1598384703

  Nursing home

  Care Compare affiliation
• Joanne Holliday Smith, D.O.

  • Family Medicine Physician
  • Andalusia, AL
  • NPI 1104821099

  Nursing home

  Care Compare affiliation
• Christopher S Reid, MD

  • Nephrology Physician
  • Pensacola, FL
  • NPI 1174525364

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265846400000",
    "number": "1407937709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 MOORE RD",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "36420",
            "telephone_number": "334-222-4544",
            "fax_number": "334-222-4737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 MOORE RD",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "36420",
            "telephone_number": "334-222-4544",
            "fax_number": "334-222-4737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDALUSIA MANOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2010-02-11",
        "status": "A",
        "authorized_official_last_name": "SASSER",
        "authorized_official_first_name": "SAL-LEE",
        "authorized_official_middle_name": "SHA-REE",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "334-222-4544",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4757890S",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Andalusia, AL
• Skilled Nursing Facility in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; 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.