Active NPI
Albertville Healthcare Center, Inc.
Doing business as Albertville Nursing Home
- Skilled Nursing Facility
- Albertville, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 12623
- Legal business name
- ALBERTVILLE HEALTHCARE CENTER, INC.
- Doing business as
- Albertville Nursing Home
- Practice address
- 750 Al Highway 75 N
Albertville, AL 35951-4014 - Phone
- (256) 878-1398
- Fax
- (256) 878-6949
- NPI assigned
- Oct 20, 2006
- Last updated
- Jan 11, 2012
- 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
- Mrs. Patti Wallace
- Title
- Chairman of the Board
- Phone
- (334) 273-9002
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 12623 | AL | Primary |
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU |
Addresses
Primary practice location
750 Al Highway 75 N
Albertville, AL 35951-4014
Mailing address
750 Al Highway 75 N
Albertville, AL 35951-4014
Phone (256) 878-1398
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47-51240S | Medicaid | AL |
Other names 1
- Albertville Nursing Home
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040510000169 | AL | Part A Provider - Skilled Nursing Facility | 7618966292 | Practice locations: Albertville, AL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1609958206. Details of each certification follow.
Skilled nursing facility certification: CCN 015163
- Legal name
- ALBERTVILLE HEALTHCARE CENTER, INC.
- Doing business as
- ALBERTVILLE NURSING HOME
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 4, 1977
- Last certification
- Nov 21, 2019
- Beds
- 159
- Ownership / control type
- Corporation
- Multi-facility organization
- SCHMIDT WALLACE HEALTHCARE COMPANY
- Organization structure
- Corporation
- Enrollment address
- 750 Al Highway 75 N
Albertville, AL 35951-4014 - Nursing home name
- ALBERTVILLE NURSING HOME
- Affiliated entity
- REHAB SELECT
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Albertville Nursing Home
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jan 4, 1977
- Medicare certification status
- Active
- Certified beds
- 159
- Chain
- Rehab Select
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 10
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Angela Cruz | Operational/Managerial Control | Nov 16, 2023 | |
| Adp of the SNF | Nov 16, 2023 | ||
| Gary Calhoun | Operational/Managerial Control | Jun 1, 2016 | |
| Adp of the SNF | Jun 1, 2016 | ||
| Adp of the SNF | Apr 8, 2025 | ||
| Emily Tinsley | Operational/Managerial Control | Apr 15, 2020 | |
| Adp of the SNF | Apr 15, 2020 | ||
| Schmidt Wallace Healthcare Management Company Inc | Operational/Managerial Control | Oct 10, 2001 | |
| Adp of the SNF | Apr 8, 2025 | ||
| Christopher R Schmidt | 5% Or Greater Direct Ownership Interest | Jan 1, 2013 | 100% |
| Corporate Officer | Sep 1, 2001 | 50% | |
| Corporate Director | Sep 1, 2001 | 50% | |
| Operational/Managerial Control | Sep 1, 2001 | ||
| Managing Control - Governing Body | Sep 1, 2001 | ||
| Adp of the SNF | Sep 1, 2001 | ||
| Direct Ownership Interest | Jan 1, 2013 | 100% | |
| Forvis Mazars LLP | Adp of the SNF | Jun 1, 2023 | |
| Adp of the SNF | Aug 31, 1999 | ||
| Adp of the SNF | Apr 8, 2025 | ||
| Tammy M Stephenson | Corporate Officer | Sep 29, 2006 | 50% |
| Corporate Director | Jan 1, 2013 | 50% | |
| Operational/Managerial Control | Jan 1, 2013 | ||
| Managing Control - Governing Body | Jan 1, 2013 | ||
| Adp of the SNF | Jan 1, 2013 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Albertville, AL
- NPI 1083687990
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 4
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Barfield Health Care
- Skilled Nursing Facility
- Guntersville, AL
- NPI 1528558855
Schmidt Wallace Healthcare Management Company Inc
-
dba Hillview Terrace
- Skilled Nursing Facility
- Montgomery, AL
- NPI 1790867497
Schmidt Wallace Healthcare Management Company Inc
-
dba Shelby Ridge Nursing Home
- Skilled Nursing Facility
- Alabaster, AL
- NPI 1710938998
Schmidt Wallace Healthcare Management Company Inc
-
- Skilled Nursing Facility
- Talladega, AL
- NPI 1932281615
Schmidt Wallace Healthcare Management Company Inc
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Family Medicine Physician
- Albertville, AL
- NPI 1083687990
-
- Internal Medicine Physician
- Boaz, AL
- NPI 1497740492
-
- Family Medicine Physician
- Albertville, AL
- NPI 1679568752
Affiliated clinicians 2
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": "1161302400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1326240000000",
"number": "1609958206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 AL HIGHWAY 75 N",
"city": "ALBERTVILLE",
"state": "AL",
"postal_code": "359514014",
"telephone_number": "256-878-1398",
"fax_number": "256-878-6949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 AL HIGHWAY 75 N",
"city": "ALBERTVILLE",
"state": "AL",
"postal_code": "359514014",
"telephone_number": "256-878-1398",
"fax_number": "256-878-6949"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALBERTVILLE HEALTHCARE CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-20",
"last_updated": "2012-01-11",
"status": "A",
"authorized_official_last_name": "WALLACE",
"authorized_official_first_name": "PATTI",
"authorized_official_title_or_position": "CHAIRMAN OF THE BOARD",
"authorized_official_telephone_number": "334-273-9002",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "AL",
"license": "12623",
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47-51240S",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Albertville Nursing Home",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Albertville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.