Generations of Red Bay, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

10989 Issued in AL

Legal business name

GENERATIONS OF RED BAY, LLC

Practice address

106 10TH Ave NW
Red Bay, AL 35582-3800

Phone

(256) 356-4982

Fax

(256) 356-8400

NPI assigned

Oct 3, 2005

Last updated

Aug 5, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. John Eric Melton

Title

Member/Cfo

Phone

(205) 545-8444

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1619964970. Details of each certification follow.

• CCN 015201 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 015201

Legal name

GENERATIONS OF RED BAY, LLC

Doing business as

GENERATIONS OF RED BAY LLC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 1, 1978

Last certification

Mar 25, 2022

Beds

90

Ownership / control type

Corporation

Multi-facility organization

GENERATIONS MANAGEMENT CO LLC

Most recent change of ownership

Dec 31, 2009

Organization structure

LLCProprietary

Enrollment address

106 10TH Ave NW
Red Bay, AL 35582-3800

Listed as

RedBay Nursing and Rehab CenterCCN 015201 · All quality measures

Overall star rating

1 of 5

Health inspections

2 of 5

Staffing

1 of 5

Quality measures

1 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Jan 1, 1978

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

9058.3 residents per day on average

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 2

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

Practitioners 2

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.

• Bardya Mostafavi Naeini

  • Family Medicine Physician
  • Florence, AL
  • NPI 1346597804
  NPD (past)
• Michael Hancock, M.D.

  • Internal Medicine Physician
  • Booneville, MS
  • NPI 1104236504
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Bardya Mostafavi Naeini

  • Family Medicine Physician
  • Florence, AL
  • NPI 1346597804

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280966400000",
    "number": "1619964970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 10TH AVE NW",
            "city": "RED BAY",
            "state": "AL",
            "postal_code": "355823800",
            "telephone_number": "256-356-4982",
            "fax_number": "256-356-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 10TH AVE NW",
            "city": "RED BAY",
            "state": "AL",
            "postal_code": "355823800",
            "telephone_number": "256-356-4982",
            "fax_number": "256-356-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERATIONS OF RED BAY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-03",
        "last_updated": "2010-08-05",
        "status": "A",
        "authorized_official_last_name": "MELTON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "MEMBER/CFO",
        "authorized_official_telephone_number": "205-545-8444",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AL",
            "license": "10989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "10989",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4754080S",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dr. James Nabers DO PC (Nabers Family Medical Clinic)
• Raynard G. Fabianke, M.D.
• Family Health Care Clinic, Inc.
• Devin Fancher
• Isabella Grace Fowler
• Kaitlin Paige Gresham, CRNP
• Gum Creek Enterprises Inc (Comfacare Home Health Supply)
• HH Health System - Shoals LLC (Red Bay Hospital)
• Kayla Marie Humphries, CRNP
• Island Medical Red Bay LLC

• Skilled Nursing Facility in Red Bay, AL
• Providers in Red Bay, AL by specialty
• Skilled Nursing Facility in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; 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.

Verify at the official NPI Registry.