Roanoke Healthcare Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

12666 Issued in AL

Legal business name

ROANOKE HEALTHCARE CENTER LLC

Practice address

680 Seymour Dr
Roanoke, AL 36274-1547

Phone

(334) 863-6151

Fax

(334) 863-4816

NPI assigned

Jun 15, 2006

Last updated

Nov 14, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Emilee R Fenaes

Title

Administrator

Phone

(334) 863-6151

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1477597227. Details of each certification follow.

• CCN 015424 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 015424

Legal name

ROANOKE HEALTHCARE CENTER LLC

Doing business as

ROANOKE REHABILITATION & HEALTHCARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jul 12, 1993

Last certification

Sep 20, 2023

Beds

65

Ownership / control type

Corporation

Multi-facility organization

BALL HEALTH CARE SERVICES

Most recent change of ownership

Jul 1, 2003

Organization structure

LLCProprietary

Incorporated

May 14, 2003 in AL

Enrollment address

680 Seymour Dr
Roanoke, AL 36274-1547

Nursing home name

ROANOKE REHABILITATION & HEALTHCARE CENTER

Affiliated entity

BALL HEALTHCARE SERVICES

Listed as

Roanoke Rehabilitation & Healthcare CenterCCN 015424 · All quality measures

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

3 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Jul 12, 1993

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

6556.5 residents per day on average

Chain

Ball Healthcare Services9 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 10

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.

• Carla N Thomas, M.D.

  • Family Medicine Physician
  • Anniston, AL
  • NPI 1194786830

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Russell D Peterson, D.O.

  • Family Medicine Physician
  • Roanoke, AL
  • NPI 1144322504
  NPD (past)
• Mitchell Carey Shirah, M.D.

  • Family Medicine Physician
  • Roanoke, AL
  • NPI 1902889371
  NPD (past)
• Carla N Thomas, M.D.

  • Family Medicine Physician
  • Anniston, AL
  • NPI 1194786830
  NPD (past)

Affiliated clinicians 3

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

• Russell D Peterson, D.O.

  • Family Medicine Physician
  • Roanoke, AL
  • NPI 1144322504

  Nursing home

  Care Compare affiliation
• Mitchell Carey Shirah, M.D.

  • Family Medicine Physician
  • Roanoke, AL
  • NPI 1902889371

  Nursing home

  Care Compare affiliation
• Carla N Thomas, M.D.

  • Family Medicine Physician
  • Anniston, AL
  • NPI 1194786830

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479081600000",
    "number": "1477597227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SOUTHERN WAY",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366191210",
            "telephone_number": "251-433-9801",
            "fax_number": "251-433-9807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 SEYMOUR DR",
            "city": "ROANOKE",
            "state": "AL",
            "postal_code": "362741547",
            "telephone_number": "334-863-6151",
            "fax_number": "334-863-4816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROANOKE HEALTHCARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2016-11-14",
        "status": "A",
        "authorized_official_last_name": "FENAES",
        "authorized_official_first_name": "EMILEE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "334-863-6151",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AL",
            "license": "12666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "475795OS",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roanoke Healthcare Authority (Randolph Medical Center)
• Roanoke Healthcare Authority (Southern Family Health Care)
• Roanoke Healthcare Authority (Randolph Medical Center)
• Roanoke Healthcare Authority (Randolph Medical Center)
• Roanoke Healthcare Authority (Randolph Medical Center)
• Michael Robinson, DO
• Helen Scharko, M.D.
• Dalton Screws
• Mitchell Carey Shirah, M.D.
• Jagroop Singh

• Skilled Nursing Facility in Roanoke, AL
• Providers in Roanoke, 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 Nov 14, 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.