NPIMap

Organization Active NPI

Sumter Health and Rehabilitation, LLC

  • Skilled Nursing Facility
  • York, AL
National Provider Identifier
1497702260
Registry record updated Oct 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SUMTER HEALTH AND REHABILITATION, LLC
Practice address
1505 E 4TH Ave
York, AL 36925-2940
Phone
(205) 392-5281
NPI assigned
May 27, 2006
Last updated
Oct 12, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2020

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

Authorized official

Name
Phillip Cody Long
Title
Cfo
Phone
(205) 391-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1505 E 4TH Ave
York, AL 36925-2940

Mailing address

1505 E 4TH Ave
York, AL 36925-2940
Phone (205) 392-5281

Other identifiers 2

IdentifierTypeStateIssuer
010589OtherALBCBS ID
4750420SMedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070628000327 AL Part A Provider - Skilled Nursing Facility 6800995044 Practice locations: York, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497702260. Details of each certification follow.

Skilled nursing facility certification: CCN 015042

Legal name
SUMTER HEALTH AND REHABILITATION, LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 16, 1967
Last certification
Apr 21, 2022
Beds
125
Ownership / control type
Corporation
Multi-facility organization
NORTHPORT MANAGEMENT
Organization structure
LLCProprietary
Incorporated
Dec 2, 1999 in AL
Enrollment address
1505 E 4TH Ave
York, AL 36925-2940
Nursing home name
SUMTER HEALTH AND REHABILITATION, L L C
Affiliated entity
NHS MANAGEMENT

Care Compare: Nursing home

Medicare Care Compare
Listed as
Sumter Health and Rehabilitation, L L CCCN 015042 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 16, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
125108.1 residents per day on average
Chain
NHS Management43 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
James Norman Estes Jr TR Organization, Vestavia, AL 5% Or Greater Indirect Ownership Interest Jun 30, 2013 6.25%
Lynn S Rasco Individual Corporate DirectorDirector of Qa/Corp Compliance Ofcr Jul 1, 2022 33%
Operational/Managerial ControlDirector of Qa/Corp Compliance Ofcr Jul 1, 2022 33%
Jennifer Lee Estes TR 031093 Organization, Vestavia, AL 5% Or Greater Indirect Ownership Interest Jun 30, 2013 6.25%
James Norman Estes Individual 5% Or Greater Indirect Ownership InterestPresident/Treasurer Dec 2, 1999 51%
Corporate OfficerPresident/Treasurer Dec 2, 1999 100%
Holding Facilities Group LLC Organization, Tuscaloosa, AL LLC, Holding company, For-profit 5% Or Greater Security Interest Jun 1, 2012
Phillip Cody Long Individual Corporate OfficerVice President/Secretary Oct 1, 2019
Other Jan 1, 2022 49%
Jennifer E Agee Family Dynasty TR No 2 Organization, Tuscaloosa, AL 5% Or Greater Indirect Ownership Interest Dec 17, 2012 18.25%
Casey D Boyd Individual Corporate DirectorRegional Administrator Apr 28, 2023 33%
Operational/Managerial ControlRegional Administrator Apr 28, 2023 33%
Northport Holding Operations, LLC Organization, Tuscaloosa, AL LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Jan 1, 2003 100%
Joe Dampeer Individual W-2 Managing EmployeeAdministrator Dec 24, 2021 100%
Operational/Managerial ControlAdministrator Dec 24, 2021 100%
Sumter Health Realty LLC Organization, Tuscaloosa, AL LLC, For-profit 5% Or Greater Security Interest Jun 1, 2012
James N Estes Jr Family Dynasty TR No 2 Organization, Tuscaloosa, AL 5% Or Greater Indirect Ownership Interest Dec 27, 2012 18.25%
Brandon S. Agee Individual Other Jan 1, 2022 49%
Marcia Duffy Individual Corporate DirectorRegional Nurse Consultant Dec 12, 2003 33%
Operational/Managerial ControlRegional Nurse Consultant Dec 12, 2003 33%
NHS Management LLC Organization, Tuscaloosa, AL LLC, For-profit Other Jun 1, 2007
Capital Funding LLC Organization, Baltimore, MD LLC, Financial institution, For-profit 5% Or Greater Mortgage Interest Jun 1, 2012 5%
5% Or Greater Security Interest Jun 1, 2012 5%
Servisfirst Bank Organization, Birmingham, AL Corporation, Financial institution, For-profit 5% Or Greater Security Interest Aug 29, 2018

Facilities with the same owner 42

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

View all 42

Practitioners & affiliated clinicians

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.

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602460800000",
    "number": "1497702260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 E 4TH AVE",
            "city": "YORK",
            "state": "AL",
            "postal_code": "369252940",
            "telephone_number": "205-392-5281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 E 4TH AVE",
            "city": "YORK",
            "state": "AL",
            "postal_code": "369252940",
            "telephone_number": "205-392-5281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMTER HEALTH AND REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "CODY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "205-391-3600"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS  ID",
            "identifier": "010589",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4750420S",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in York, AL

Sources for this page

Verify at the official NPI Registry.