Collinsville Nursing Home, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

12525 Issued in AL

Legal business name

COLLINSVILLE NURSING HOME, INC

Doing business as

COLLINSVILLE HEALTHCARE & REHAB

Practice address

685 North Valley Ave
Collinsville, AL 35961

Phone

(256) 524-2117

Fax

(256) 524-2035

NPI assigned

May 19, 2006

Organization subpart

No

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

Authorized official

Name

Mr. James Randall Coker Jr.

Title

Administrator

Phone

(256) 524-2117

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• COLLINSVILLE HEALTHCARE & REHAB Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Skilled nursing facility certification: CCN 015207

Legal name

COLLINSVILLE NURSING HOME, INC

Doing business as

COLLINSVILLE HEALTHCARE & REHAB

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Dec 1, 1977

Last certification

Feb 13, 2025

Beds

200

Ownership / control type

Corporation

Organization structure

CorporationProprietary

Incorporated

Oct 6, 1970 in AL

Enrollment address

685 N Valley Ave
Collinsville, AL 35961-0310

Nursing home name

COLLINSVILLE HEALTHCARE & REHAB

Listed as

Collinsville Healthcare & RehabCCN 015207 · All quality measures

Overall star rating

2 of 5

Health inspections

3 of 5

Staffing

3 of 5

Quality measures

1 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Dec 1, 1977

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

200160.9 residents per day on average

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 5

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

Practitioners 3

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

• Gary Alan Calhoun, MD

  • Family Medicine Physician
  • Albertville, AL
  • NPI 1083687990
  NPD (past)
• Frances H. Koe, MD

  • Family Medicine Physician
  • Collinsville, AL
  • NPI 1669566527
  NPD (past)
• Donald F Slappey, MD

  • Obstetrics & Gynecology Physician
  • Boaz, AL
  • NPI 1235188764
  NPD (past)

Affiliated clinicians 2

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

• Gary Alan Calhoun, MD

  • Family Medicine Physician
  • Albertville, AL
  • NPI 1083687990

  Nursing home

  Care Compare affiliation
• Frances H. Koe, MD

  • Family Medicine Physician
  • Collinsville, AL
  • NPI 1669566527

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360281600000",
    "number": "1467406298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310",
            "city": "COLLINSVILLE",
            "state": "AL",
            "postal_code": "359610310",
            "telephone_number": "256-524-2117",
            "fax_number": "256-524-2035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 NORTH VALLEY AVE",
            "city": "COLLINSVILLE",
            "state": "AL",
            "postal_code": "35961",
            "telephone_number": "256-524-2117",
            "fax_number": "256-524-2035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLINSVILLE NURSING HOME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2013-02-08",
        "status": "A",
        "authorized_official_last_name": "COKER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "RANDALL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "256-524-2117",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AL",
            "license": "12525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4754120S",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COLLINSVILLE HEALTHCARE & REHAB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Co Co, Inc.
• Collinsville Express Drugs LLC
• Dekalb Baptist Medical Center Home Health
• Fort Payne Clinic Corp
• Fort Payne RHC Corp
• Pamela Gibson, CRNP
• Misty Sharp Ingram, CRNP

• Skilled Nursing Facility in Collinsville, AL
• Providers in Collinsville, 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 Feb 8, 2013; 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.