Organization Active NPI

Haleyville SNF Operations LLC

Doing business as Haleyville Rehabilitation and Healthcare Center

  • Skilled Nursing Facility
  • Haleyville, AL
National Provider Identifier
1538881925
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
HALEYVILLE SNF OPERATIONS LLC
Doing business as
Haleyville Rehabilitation and Healthcare Center
Practice address
2201 11TH Ave
Haleyville, AL 35565-1613
Phone
(205) 486-9478
Fax
(256) 486-8393
NPI assigned
Sep 13, 2022
Last updated
Feb 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Authorized official

Name
Menucha Goodman
Title
Authorized Official
Phone
(732) 268-1810

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

2201 11TH Ave
Haleyville, AL 35565-1613

Mailing address

2201 11TH Ave
Haleyville, AL 35565-1613
Phone (205) 486-9478

Other names 1

  • Haleyville Rehabilitation and Healthcare Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230505000483 AL Part A Provider - Skilled Nursing Facility 9537524087 Practice locations: Haleyville, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1538881925. Details of each certification follow.

Skilled nursing facility certification: CCN 015157

Legal name
HALEYVILLE SNF OPERATIONS LLC
Doing business as
HALEYVILLE REHABILITATION AND HEALTHCARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 1, 1977
Last certification
Apr 22, 2021
Beds
97
Ownership / control type
Corporation
Multi-facility organization
USA HEALTHCARE ALABAMA
Most recent change of ownership
Mar 23, 2023
Organization structure
LLCProprietary
Enrollment address
2201 11TH Ave
Haleyville, AL 35565-1613
Nursing home name
HALEYVILLE HEALTH CARE CENTER
Affiliated entity
VENZA CARE MANAGEMENT

Care Compare: Nursing home

Medicare Care Compare
Listed as
Haleyville Health Care CenterCCN 015157 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Mar 1, 1977
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9770.3 residents per day on average
Chain
Venza Care Management25 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
01D0684591Dba Haleyville Rehabilitation & Healthcare Center2201 11TH Avenue, Haleyville, AL 35565Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

2201 11th Ave
Haleyville, AL 35565
Phone (205) 486-9478

Ownership & related parties

All disclosed owners & managing parties 52

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

NameRoleSinceShare
Al SNF Holdings Trust Organization, Lakewood, NJ Indirect Ownership Interest Mar 25, 2026 24.25%
Organization, Lakewood, NJ LLC, Holding company Adp of the SNF Mar 24, 2023
Thomas Minshew Individual Operational/Managerial Control Mar 4, 2026
Managing Control - Governing BodyAdminstrator Mar 4, 2026
Adp of the SNF Mar 4, 2026
Organization, Lakewood, NJ LLC, Holding company, Owned by another organization or individual Indirect Ownership Interest Dec 1, 2025 2%
Organization, Lakewood, NJ LLC, Holding company, Owned by another organization or individual Indirect Ownership Interest Dec 1, 2025 2%
Organization, Lakewood, NJ Adp of the SNF Mar 25, 2026
Organization, Lakewood, NJ LLC, Holding company Adp of the SNF Dec 1, 2025
Organization, Lakewood, NJ LLC Adp of the SNF Mar 24, 2023
Al SNF Associates Trust Organization, Lakewood, NJ Indirect Ownership Interest Mar 25, 2026 24.25%
Individual Indirect Ownership Interest Mar 24, 2023 1.5%
Organization, Lakewood, NJ LLC, Holding company Adp of the SNF Mar 25, 2026
Organization, Lakewood, NJ LLC, Holding company, Owned by another organization or individual Indirect Ownership Interest Mar 24, 2023 1.5%
M Melb Opco Trust Organization, Miami, FL Indirect Ownership Interest Dec 1, 2025 22.5%
Individual Indirect Ownership Interest Mar 24, 2023 1%
Boyde Jerome Harrison Individual Operational/Managerial Control Mar 24, 2023
Adp of the SNF Mar 24, 2023
Organization, Lakewood, NJ LLC, Holding company Adp of the SNF Mar 25, 2026
Venza Care Admin Services LLC Organization, Lakewood, NJ LLC, Management services company, Consulting firm Operational/Managerial Control Aug 31, 2025
Adp of the SNF Apr 29, 2026
Lisa Chubb Individual Adp of the SNF Feb 19, 2026
Organization, Lakewood, NJ LLC, Holding company Adp of the SNF Mar 24, 2023
S Melb Opco LLC Organization, Lakewood, NJ LLC, Owned by another organization or individual Indirect Ownership Interest Dec 1, 2025 22.5%
Organization, Lakewood, NJ Indirect Ownership Interest Dec 1, 2025 2%
Individual Indirect Ownership Interest Mar 24, 2023 1.5%
CW Alabama Holdings LLC Organization, Lakewood, NJ LLC, Holding company, For-profit, Owned by another organization or individual Indirect Ownership Interest Mar 25, 2026 24.25%
Vertex Financial Services LLC Organization, Lakewood, NJ LLC, Management services company, Chain home office Operational/Managerial Control Jan 1, 2025
Adp of the SNF May 5, 2026
Organization, Lakewood, NJ Adp of the SNF Dec 1, 2025
Organization, Lakewood, NJ Adp of the SNF Mar 25, 2026
Organization, Lakewood, NJ LLC, Holding company Adp of the SNF Dec 1, 2025
Organization, Lakewood, NJ Indirect Ownership Interest Dec 1, 2025 2%
Alabama SNF Operations Holdings LLC Organization, Lakewood, NJ Created for acquisition, LLC, Holding company, For-profit, Owned by another organization or individual Direct Ownership Interest Mar 24, 2023 100%
M Melb Opco LLC Organization, Lakewood, NJ LLC, Holding company, Owned by another organization or individual Indirect Ownership Interest Dec 1, 2025 22.5%
Organization, Lakewood, NJ LLC, Holding company Adp of the SNF Mar 24, 2023
Al SNF Holdings LLC Organization, Lakewood, NJ LLC, Holding company, For-profit, Owned by another organization or individual Indirect Ownership Interest Mar 25, 2026 24.25%
Alabama Opco Manager LLC Organization, Lakewood, NJ LLC, For-profit Operational/Managerial Control Mar 24, 2023
Venza Care Clinical Consulting LLC Organization, Lakewood, NJ LLC, Consulting firm Operational/Managerial Control Jan 1, 2025
Adp of the SNF Apr 29, 2026
Amanda Williams Individual Managing Control - Governing BodyRegional Nurse May 15, 2023
Adp of the SNF May 15, 2023
SS Alabama Holdings LLC Organization, Lakewood, NJ Created for acquisition, LLC, Holding company, For-profit, Owned by another organization or individual Indirect Ownership Interest Mar 24, 2023 22.5%
Organization, Lakewood, NJ LLC, Holding company Adp of the SNF Mar 25, 2026
Organization, Lakewood, NJ Adp of the SNF Dec 1, 2025
Adam Madison Individual Managing Control - Governing BodyRegional Manager Aug 31, 2025
Adp of the SNF Aug 31, 2025
Welltower Op, LLC Organization, Toledo, OH LLC, For-profit, Owned by another organization or individual 5% Or Greater Mortgage Interest Mar 25, 2026 80%
Adp of the SNF Apr 29, 2026
Organization, Lakewood, NJ LLC, Holding company, Owned by another organization or individual Indirect Ownership Interest Mar 24, 2023 1.5%
Menucha Goodman Individual Operational/Managerial Control Dec 1, 2025
Managing Control - Governing BodyAuthorized Official Dec 1, 2025
S Melb Opco Trust Organization, Miami, FL Owned by another organization or individual Indirect Ownership Interest Dec 1, 2025 22.5%
Ms Alabama Holdings LLC Organization, Lakewood, NJ Created for acquisition, LLC, Holding company, For-profit, Owned by another organization or individual Indirect Ownership Interest Mar 24, 2023 22.5%
Organization, Lakewood, NJ LLC, Holding company Adp of the SNF Dec 1, 2025
Organization, Lakewood, NJ LLC, Holding company Adp of the SNF Dec 1, 2025
Organization, Lakewood, NJ LLC, Holding company, Owned by another organization or individual Indirect Ownership Interest Mar 24, 2023 1%
Melb Opco Manager LLC Organization, Lakewood, NJ LLC Operational/Managerial Control Dec 1, 2025
Al Realty Associates LLC Organization, Lakewood, NJ LLC, Holding company, For-profit, Owned by another organization or individual Indirect Ownership Interest Mar 25, 2026 24.25%
CH Alabama Holdings LLC Organization, Lakewood, NJ Created for acquisition, LLC, Holding company, For-profit, Owned by another organization or individual Indirect Ownership Interest Mar 25, 2026 24.25%
Bankwell Bank Organization, New Canaan, CT Corporation, Financial institution, Owned by another organization or individual 5% Or Greater Security Interest Mar 25, 2026 10%
Organization, Lakewood, NJ LLC, Holding company Adp of the SNF Mar 25, 2026

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 19

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

View all 19

Practitioners & affiliated clinicians

Practitioners 4

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 3

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": "1663027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770163200000",
    "number": "1538881925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 11TH AVE",
            "city": "HALEYVILLE",
            "state": "AL",
            "postal_code": "355651613",
            "telephone_number": "205-486-9478",
            "fax_number": "256-486-8393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 11TH AVE",
            "city": "HALEYVILLE",
            "state": "AL",
            "postal_code": "355651613",
            "telephone_number": "205-486-9478",
            "fax_number": "256-486-8393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALEYVILLE SNF OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-13",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "MENUCHA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "732-268-1810"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haleyville Rehabilitation and Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Haleyville, AL

Sources for this page

Verify at the official NPI Registry.