Robertsdale Nursing Home, Inc.

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

ROBERTSDALE NURSING HOME, INC.

Practice address

18700 US Highway 90
Robertsdale, AL 36567-3271

Phone

(251) 947-7243

Fax

(251) 947-7245

NPI assigned

Sep 2, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Clarence M Ball Jr.

Title

Ceo

Phone

(334) 727-2944

Specialties & licenses 1

Addresses

Other names 1

• Robertsdale Outpatient Rehabilitation Clinc Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1409616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409616000000",
    "number": "1609276245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 AUBURN STREET",
            "city": "TUSKEGEE",
            "state": "AL",
            "postal_code": "360831585",
            "telephone_number": "334-727-2944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18700 US HIGHWAY 90",
            "city": "ROBERTSDALE",
            "state": "AL",
            "postal_code": "365673271",
            "telephone_number": "251-947-7243",
            "fax_number": "251-947-7245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTSDALE NURSING HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-02",
        "last_updated": "2014-09-02",
        "status": "A",
        "authorized_official_last_name": "BALL",
        "authorized_official_first_name": "CLARENCE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "334-727-2944",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robertsdale Outpatient Rehabilitation Clinc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Providence Healthcare Services
• Andrew Mark Richardson, DMD
• Meredith Rhodes Roach, PHARM D
• Roberto V Pischek DMD PC
• Robertsdale Nursing Home Inc
• Robertsdale Urgent Care LLC
• Deanna Adlington Robinson, M.S.,CCC-SLP
• Douglas Blake Rodenberry, PHARMD
• Annelise Romine, COTA/L
• Jessica Suzanne Ryan, PHD

• Rehabilitation Clinic/Center in Robertsdale, AL
• Providers in Robertsdale, AL by specialty
• Rehabilitation Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.