NPIMap

Organization Active NPI

Wetumpka Health and Rehabilitation, LLC

  • Skilled Nursing Facility
  • Wetumpka, AL
National Provider Identifier
1588611271
Registry record updated Oct 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
WETUMPKA HEALTH AND REHABILITATION, LLC
Practice address
1825 Holtville Rd
Wetumpka, AL 36092-8211
Phone
(334) 567-5131
NPI assigned
May 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 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

1825 Holtville Rd
Wetumpka, AL 36092-8211

Mailing address

1825 Holtville Rd
Wetumpka, AL 36092-8211
Phone (334) 567-5131

Other identifiers 2

IdentifierTypeStateIssuer
012759OtherALBCBS ID
4750270SMedicaidAL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20021030000005 AL Part A Provider - Skilled Nursing Facility 8426966961 Practice locations: Wetumpka, AL

Skilled nursing facility certification: CCN 015027

Legal name
WETUMPKA HEALTH AND REHABILITATION, LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 24, 1967
Last certification
Dec 7, 2023
Beds
121
Ownership / control type
Corporation
Multi-facility organization
NHS Management
Most recent change of ownership
Oct 1, 2002
Organization structure
LLCProprietary
Enrollment address
1825 Holtville Rd
Wetumpka, AL 36092-8211
Nursing home name
WETUMPKA HEALTH AND REHABILITATION, LLC
Affiliated entity
NHS MANAGEMENT

Care Compare: Nursing home

Medicare Care Compare
Listed as
Wetumpka Health and Rehabilitation, LLCCCN 015027 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jul 24, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
121114.4 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
01D0673391Wetumpka Health and Rehabilitation LLC1825 Holtville Road, Wetumpka, AL 36092Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 12

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 Aug 20, 2002 5.32%
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%
Lisa Algarin Individual Operational/Managerial ControlAdministrator Dec 7, 2022 100%
Adp of the SNF Feb 7, 2025
Jennifer Lee Estes TR 031093 Organization, Vestavia, AL 5% Or Greater Indirect Ownership Interest Aug 20, 2002 5.32%
Julie H Richburg Individual Operational/Managerial ControlRegional Administrator Dec 11, 2014 33%
Managing Control - Governing BodyBoard Member Dec 11, 2014
James Norman Estes Individual 5% Or Greater Indirect Ownership InterestPresident/Treasurer Aug 20, 2002 89.36%
Corporate OfficerPresident/Treasurer Aug 20, 2002 100%
NHS Operations LLC Organization, Tuscaloosa, AL LLC, For-profit 5% Or Greater Direct Ownership Interest Aug 20, 2002 100%
Phillip Cody Long Individual Corporate OfficerVice President/Secretary Oct 1, 2019
Berkadia Commercial Mortgage LLC Organization, Horsham, PA LLC, Financial institution, For-profit 5% Or Greater Mortgage Interest Jul 26, 2006 100%
5% Or Greater Security Interest Jul 26, 2006 100%
Bryan K Baggett Individual Operational/Managerial Control May 27, 2024
Managing Control - Governing BodyBoard Member May 27, 2024
Regions Bank Organization, Birmingham, AL Corporation, Financial institution, For-profit 5% Or Greater Security Interest Aug 29, 2011 8.37%
Wetumpka Health Realty LLC Organization, Tuscaloosa, AL LLC, For-profit 5% Or Greater Security Interest Oct 1, 2002

Facilities with the same owner 40

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

View all 40

Practitioners & affiliated clinicians

Practitioners 1

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

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": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602201600000",
    "number": "1588611271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 HOLTVILLE RD",
            "city": "WETUMPKA",
            "state": "AL",
            "postal_code": "360928211",
            "telephone_number": "334-567-5131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 HOLTVILLE RD",
            "city": "WETUMPKA",
            "state": "AL",
            "postal_code": "360928211",
            "telephone_number": "334-567-5131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WETUMPKA HEALTH AND REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "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": "012759",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4750270S",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wetumpka, AL

Sources for this page

Verify at the official NPI Registry.