Active NPI
Providence Park Rehabilitation Healthcare Center LLC
- Skilled Nursing Facility
- Mobile, AL
National Provider Identifier
1568367761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- PROVIDENCE PARK REHABILITATION HEALTHCARE CENTER LLC
- Practice address
- 550 Providence Park Drive East
Mobile, AL 36695 - Phone
- (251) 433-9801
- NPI assigned
- Oct 9, 2026
- Last updated
- Oct 9, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Clarence Ball
- Title
- Ceo
- Phone
- (251) 433-9801
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
550 Providence Park Drive East
Mobile, AL 36695
Mailing address
550 Providence Park Drive East
Mobile, AL 36695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791504000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791504000000",
"number": "1568367761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 PROVIDENCE PARK DRIVE EAST",
"city": "MOBILE",
"state": "AL",
"postal_code": "36695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 PROVIDENCE PARK DRIVE EAST",
"city": "MOBILE",
"state": "AL",
"postal_code": "36695",
"telephone_number": "251-433-9801"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROVIDENCE PARK REHABILITATION HEALTHCARE CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-09",
"last_updated": "2026-10-09",
"certification_date": "2026-10-07",
"status": "A",
"authorized_official_last_name": "BALL",
"authorized_official_first_name": "CLARENCE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "251-433-9801"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.