NPIMap

Organization Active NPI

South Hampton Nursing and Rehabilitation Center, LLC

  • Skilled Nursing Facility
  • Owens Cross Roads, AL
National Provider Identifier
1598752073
Registry record updated May 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
10596 Issued in AL
Legal business name
SOUTH HAMPTON NURSING AND REHABILITATION CENTER, LLC
Practice address
213 Wilson Mann Rd
Owens Cross Roads, AL 35763-8606
Phone
(256) 725-3400
Fax
(256) 725-3423
NPI assigned
Sep 30, 2005
Last updated
May 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2015

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

Authorized official

Name
Mrs. Monte S Stickler, CORPORATE ACCT.
Title
Regional Acct.
Phone
(256) 677-3819

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 10596 AL Primary

Addresses

Primary practice location

213 Wilson Mann Rd
Owens Cross Roads, AL 35763-8606

Mailing address

213 Wilson Mann Rd
Owens Cross Roads, AL 35763-8606
Phone (256) 725-3400

Other identifiers 1

IdentifierTypeStateIssuer
4758120SMedicaidAL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040116000191 AL Part A Provider - Skilled Nursing Facility 0042111692 Practice locations: Owens Cross Roads, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1598752073. Details of each certification follow.

Skilled nursing facility certification: CCN 015448

Legal name
SOUTH HAMPTON NURSING AND REHABILITATION CENTER LLC
Doing business as
SOUTH HAMPTON NURSING AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 12, 2002
Last certification
Jul 14, 2023
Beds
81
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Feb 18, 2002 in AL
Enrollment address
213 Wilson Mann Rd
Owens Cross Roads, AL 35763-8606
Nursing home name
SOUTH HAMPTON NURSING & REHABILITATION CENTER
Affiliated entity
PRESTON HEALTH SERVICES

Care Compare: Nursing home

Medicare Care Compare
Listed as
South Hampton Nursing & Rehabilitation CenterCCN 015448 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jun 12, 2002
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8175.8 residents per day on average
Chain
Preston Health Services5 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

213 Wilson Mann Rd
Owens X Rds, AL 35763
Phone (256) 725-3400

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Jeffrey M Saylor Individual Contracted Managing EmployeeMD; Jan 1, 2015
Preston Health Services Inc Organization, Centre, AL Corporation, Management services company, For-profit 5% Or Greater Direct Ownership Interest Jun 8, 2005 100%
Operational/Managerial Control Apr 16, 2021
James P. Walker Individual 5% Or Greater Direct Ownership Interest Apr 5, 2002 100%
Jack Grove Individual W-2 Managing EmployeeAd; Dec 20, 2021

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 2

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

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": "1128038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431475200000",
    "number": "1598752073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 WILSON MANN RD",
            "city": "OWENS CROSS ROADS",
            "state": "AL",
            "postal_code": "357638606",
            "telephone_number": "256-725-3400",
            "fax_number": "256-725-3423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 WILSON MANN RD",
            "city": "OWENS CROSS ROADS",
            "state": "AL",
            "postal_code": "357638606",
            "telephone_number": "256-725-3400",
            "fax_number": "256-725-3423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH HAMPTON NURSING AND REHABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-30",
        "last_updated": "2015-05-13",
        "status": "A",
        "authorized_official_last_name": "STICKLER",
        "authorized_official_first_name": "MONTE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "REGIONAL ACCT.",
        "authorized_official_telephone_number": "256-677-3819",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CORPORATE ACCT."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AL",
            "license": "10596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4758120S",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owens Cross Roads, AL

Sources for this page

Verify at the official NPI Registry.