NPIMap

Organization Active NPI

Prattville Health and Rehabilitation LLC

  • Skilled Nursing Facility
  • Prattville, AL
National Provider Identifier
1508813163
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PRATTVILLE HEALTH AND REHABILITATION LLC
Practice address
601 Jasmine TRL
Prattville, AL 36066-3661
Phone
(334) 365-2241
NPI assigned
May 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 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

601 Jasmine TRL
Prattville, AL 36066-3661

Mailing address

601 Jasmine TRL
Prattville, AL 36066-3661
Phone (334) 365-2241

Other identifiers 2

IdentifierTypeStateIssuer
4757610SMedicaidAL
012443OtherALBCBS ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030827000012 AL Part A Provider - Skilled Nursing Facility 8123939519 Practice locations: Prattville, AL

Skilled nursing facility certification: CCN 015065

Legal name
PRATTVILLE HEALTH AND REHABILITATION LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 1, 1974
Last certification
Jun 10, 2022
Beds
162
Ownership / control type
Corporation
Multi-facility organization
NORTHPORT HEALTH SYSTEM
Most recent change of ownership
Nov 3, 2003
Organization structure
LLCProprietary
Enrollment address
601 Jasmine TRL
Prattville, AL 36066-3661
Nursing home name
PRATTVILLE HEALTH AND REHABILITATION, LLC
Affiliated entity
NHS MANAGEMENT

Care Compare: Nursing home

Medicare Care Compare
Listed as
Prattville Health and Rehabilitation, LLCCCN 015065 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
4 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Apr 1, 1974
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
162153.5 residents per day on average
Chain
NHS Management43 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D0303871Prattville Health and Rehabilitation LLC601 Jasmine Trail, Prattville, AL 36066Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 15

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 Aug 16, 2002 51%
Corporate OfficerPresident/Treasurer Aug 16, 2002 100%
Holding Facilities Group LLC Organization, Tuscaloosa, AL LLC, Holding company, For-profit 5% Or Greater Security Interest Sep 1, 2013
Phillip Cody Long Individual Corporate OfficerVice President/Secretary Oct 1, 2019
Jennifer E Agee Family Dynasty TR No 2 Organization, Tuscaloosa, AL 5% Or Greater Indirect Ownership Interest Dec 27, 2012 18.25%
Northport Holding Operations, LLC Organization, Tuscaloosa, AL LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Aug 16, 2002 100%
Prattville Health Realty LLC Organization, Tuscaloosa, AL LLC, For-profit 5% Or Greater Security Interest Sep 1, 2013
Alice P. Simmons Individual Corporate DirectorRegional Nurse Consultant Jan 22, 2024 33%
Operational/Managerial ControlRegional Nurse Consultant Jan 22, 2024 33%
Bryan K Baggett Individual Operational/Managerial Control May 27, 2024
Managing Control - Governing BodyBoard Member May 27, 2024
James N Estes Jr Family Dynasty TR No 2 Organization, Tuscaloosa, AL 5% Or Greater Indirect Ownership Interest Dec 27, 2012 18.25%
Roderick Watkins Individual Operational/Managerial Control Jul 29, 2024
Adp of the SNF Feb 5, 2025
Capital Funding LLC Organization, Baltimore, MD LLC, Financial institution, For-profit 5% Or Greater Mortgage Interest Sep 1, 2013 5%
5% Or Greater Security Interest Sep 1, 2013 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 3

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

Affiliated clinicians 2

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": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603843200000",
    "number": "1508813163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 JASMINE TRL",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360663661",
            "telephone_number": "334-365-2241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 JASMINE TRL",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360663661",
            "telephone_number": "334-365-2241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRATTVILLE HEALTH AND REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "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": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4757610S",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID",
            "identifier": "012443",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prattville, AL

Sources for this page

Verify at the official NPI Registry.