Prohealth LTC-Trussville LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PROHEALTH LTC-TRUSSVILLE LLC

Doing business as

Trussville Health & Rehab Center

Practice address

119 Watterson Pkwy
Trussville, AL 35173-2307

Phone

(205) 655-3226

Fax

(205) 661-2366

NPI assigned

Mar 22, 2016

Last updated

May 1, 2019By 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

David Alan Lester, JD

Title

Ceo

Phone

(205) 820-7000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Trussville Health & Rehab Center Doing business as

Practitioners 1

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.

• Lee T Wimberly, MD

  • Internal Medicine Physician
  • Birmingham, AL
  • NPI 1033142054
  NPD (past)

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556668800000",
    "number": "1497117279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 37TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352223244",
            "telephone_number": "205-341-7300",
            "fax_number": "855-301-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 WATTERSON PKWY",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "351732307",
            "telephone_number": "205-655-3226",
            "fax_number": "205-661-2366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROHEALTH LTC-TRUSSVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-22",
        "last_updated": "2019-05-01",
        "status": "A",
        "authorized_official_last_name": "LESTER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "205-820-7000",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "191841",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trussville Health & Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Trussville Health & Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leslie Taylor Pounds, PHARMD
• Premier Living Home Care, LLC
• Premier Therapy South LLC
• Premier Urgent and Family Care
• Prestley-Allen, LLP (We Care Medical Supplies)
• Publix Alabama LLC (Publix Pharmacy #1082)
• Quest for Health Chiropractic
• Radius PT of Alabama LLC
• Jameson Kenerly Ragsdale
• Brittney Otruba Randolph, PHD

• Skilled Nursing Facility in Trussville, AL
• Providers in Trussville, 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 May 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.