Active NPI
Preferred Health Holdings LLC
- Skilled Nursing Facility
- Guntersville, AL
National Provider Identifier
1629065289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 10607
- Legal business name
- PREFERRED HEALTH HOLDINGS LLC
- Practice address
- 3120 North St
Guntersville, AL 35976-2962 - Phone
- (256) 582-6561
- NPI assigned
- Sep 29, 2005
- Organization subpart
- Yes
- Parent organization
- PREFERRED HEALTH HOLDINGS LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jerry South
- Title
- Administrator
- Phone
- (256) 582-6561
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 10607 | AL | Primary |
Addresses
Primary practice location
3120 North St
Guntersville, AL 35976-2962
Mailing address
3120 North St
Guntersville, AL 35976-2912
Phone (256) 582-6561
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4757250S | Medicaid | AL |
Other names 1
- marshall manor
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20020930000005 | AL | Part A Provider - Skilled Nursing Facility | 2860309531 | Practice locations: Guntersville, AL |
Skilled nursing facility certification: CCN 015378
- Legal name
- PREFERRED HEALTH HOLDINGS LLC
- Doing business as
- MARSHALL MANOR NURSING HOME
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Feb 25, 1982
- Last certification
- Jun 23, 2023
- Beds
- 91
- Ownership / control type
- Corporation
- Multi-facility organization
- PREFERRED HEALTH HOLDING
- Organization structure
- LLC
- Incorporated
- May 30, 2002 in AL
- Enrollment address
- 3120 North St
Guntersville, AL 35976-2962 - Nursing home name
- MARSHALL MANOR NURSING HOME
- Affiliated entity
- PRESTON HEALTH SERVICES
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Marshall Manor Nursing Home
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Feb 25, 1982
- Medicare certification status
- Active
- Certified beds
- 91
- Chain
- Preston Health Services
National Provider Directory
National Provider Directory- Part of
- Preferred Health Holdings LLC
Ownership & related parties
All disclosed owners & managing parties 3
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 |
|---|---|---|---|
| Jeffrey M Saylor | Contracted Managing Employee | Apr 1, 2010 | |
| James P. Walker | 5% Or Greater Direct Ownership Interest | Aug 1, 2002 | |
| Corporate Director | Apr 19, 2006 | ||
| Operational/Managerial Control | Jan 9, 2014 | ||
| Linda Robertson | W-2 Managing Employee | Jan 25, 2018 | 100% |
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
- Guntersville, AL
- NPI 1174589410
Contracted Managing Employee
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Guntersville, AL
- NPI 1174589410
-
- Family Medicine Physician
- Albertville, AL
- NPI 1679568752
Affiliated clinicians 4
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": "1127952000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1187308800000",
"number": "1629065289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3120 NORTH ST",
"city": "GUNTERSVILLE",
"state": "AL",
"postal_code": "359762912",
"telephone_number": "256-582-6561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3120 NORTH ST",
"city": "GUNTERSVILLE",
"state": "AL",
"postal_code": "359762962",
"telephone_number": "256-582-6561"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREFERRED HEALTH HOLDINGS LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PREFERRED HEALTH HOLDINGS LLC",
"enumeration_date": "2005-09-29",
"last_updated": "2007-08-17",
"status": "A",
"authorized_official_last_name": "SOUTH",
"authorized_official_first_name": "JERRY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "256-582-6561"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "AL",
"license": "10607",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4757250S",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "marshall manor",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Guntersville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2007; 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.