Active NPI
NHC Healthcare-Moulton LLC
- Skilled Nursing Facility
- Moulton, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 12597
- Legal business name
- NHC HEALTHCARE-MOULTON LLC
- Practice address
- 300 Hospital St
Moulton, AL 35650-1268 - Phone
- (256) 974-1146
- NPI assigned
- Jul 11, 2006
- Last updated
- Oct 25, 2021
- Organization subpart
- Yes
- Parent organization
- NATIONAL HEALTHCARE CORPORATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- D Doran Johnson
- Title
- Manager
- Phone
- (931) 424-1456
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 12597 | AL | Primary |
Addresses
Primary practice location
300 Hospital St
Moulton, AL 35650-1268
Mailing address
300 Hospital St
Moulton, AL 35650-1268
Phone (256) 974-1146
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4753340S | Medicaid | AL | |
| 3003340 | Other | TN | BC BS |
| 010-631 | Other | AL | BC BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111202000696 | AL | Part A Provider - Skilled Nursing Facility | 8820263882 | Practice locations: Moulton, AL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1639104235. Details of each certification follow.
Skilled nursing facility certification: CCN 015128
- Legal name
- NHC HEALTHCARE-MOULTON LLC
- Doing business as
- NHC HEALTHCARE, MOULTON
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Sep 1, 1977
- Last certification
- Nov 6, 2019
- Beds
- 136
- Ownership / control type
- Corporation
- Multi-facility organization
- NATIONAL HEALTHCARE
- Organization structure
- LLC
- Incorporated
- Oct 12, 1999 in AL
- Enrollment address
- 300 Hospital Street
Moulton, AL 35650-1268 - Nursing home name
- NHC HEALTHCARE, MOULTON
- Affiliated entity
- NATIONAL HEALTHCARE CORPORATION
Care Compare: Nursing home
Medicare Care Compare- Listed as
- NHC Healthcare, Moulton
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Sep 1, 1977
- Medicare certification status
- Active
- Certified beds
- 136
- Chain
- National Healthcare Corporation
National Provider Directory
National Provider Directory- Part of
- National Healthcare Corporation
Member of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
dba NHC HealthCare, Sumter
- Skilled Nursing Facility
- Sumter, SC
- NPI 1760407910
Member Of
Ownership & related parties
All disclosed owners & managing parties 19
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 |
|---|---|---|---|
| Timothy Shelly | Operational/Managerial Control | Jul 12, 2024 | |
| Robert M Ussery | Operational/Managerial Control | Jan 1, 2009 | |
| Charles Bidwell | Corporate Officer | Jun 15, 2021 | |
| Operational/Managerial Control | Jun 15, 2021 | ||
| Managing Control - Governing Body | Jun 15, 2021 | ||
| National Health Corporation | 5% Or Greater Indirect Ownership Interest | Jan 1, 2001 | 6.5% |
| Adp of the SNF | Mar 31, 2025 | ||
| Adp of the SNF | Jan 1, 2001 | ||
| Blackrock Inc | 5% Or Greater Indirect Ownership Interest | Mar 20, 2019 | 12.6% |
| Adp of the SNF | Jan 20, 2010 | ||
| Morgan Stanley | 5% Or Greater Indirect Ownership Interest | Nov 8, 2024 | 5.3% |
| Vanguard Group Inc | 5% Or Greater Indirect Ownership Interest | Mar 27, 2017 | 9% |
| Adp of the SNF | Nov 30, 2006 | ||
| Vicki L Dodson | Operational/Managerial Control | Jun 1, 2019 | |
| Adp of the SNF | Jun 1, 2019 | ||
| Rex C Tuckier | Operational/Managerial Control | Jun 6, 2017 | |
| Adp of the SNF | Mar 31, 2025 | ||
| Joshua B Hubbuch | Operational/Managerial Control | May 6, 2024 | |
| Adp of the SNF | Jul 3, 2025 | ||
| Morgan Stanley Institutional Advisors LLC | Indirect Ownership Interest | Nov 8, 2024 | 4.8% |
| Luci Steien | Operational/Managerial Control | Jul 16, 2007 | |
| NHC-Op LP | 5% Or Greater Direct Ownership Interest | Jan 1, 2001 | 99% |
| Operational/Managerial Control | Jan 1, 2001 | ||
| National Healthcare Corporation | 5% Or Greater Indirect Ownership Interest | Jan 1, 2001 | 98% |
| Operational/Managerial Control | Jan 1, 2001 | ||
| Adp of the SNF | Mar 31, 2025 | ||
| NHC/Delaware Inc | Direct Ownership Interest | Jan 1, 2001 | 1% |
| Dimensional Fund Advisors LP | 5% Or Greater Indirect Ownership Interest | Mar 7, 2023 | 6% |
| Adp of the SNF | Jan 1, 2001 | ||
| Brian Kidd | Operational/Managerial Control | Jan 1, 2017 | |
| Adp of the SNF | Jan 1, 2017 |
Owners & managing parties with NPI records 23
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Surgery Physician
- Moulton, AL
- NPI 1679523757
Adp of the SNF, Operational/Managerial Control
-
- Skilled Nursing Facility
- Cookeville, TN
- NPI 1174559462
5% Or Greater Indirect Ownership Interest, Adp of the SNF
-
- Skilled Nursing Facility
- Lawrenceburg, TN
- NPI 1306883749
5% Or Greater Indirect Ownership Interest, Adp of the SNF
-
dba NHC HealthCare, Oak Ridge
- Skilled Nursing Facility
- Oak Ridge, TN
- NPI 1598703076
5% Or Greater Indirect Ownership Interest, Adp of the SNF
-
- Skilled Nursing Facility
- Murfreesboro, TN
- NPI 1699720029
5% Or Greater Indirect Ownership Interest, Adp of the SNF
-
dba NHC HealthCare, Sumter
- Skilled Nursing Facility
- Sumter, SC
- NPI 1760407910
5% Or Greater Indirect Ownership Interest, Adp of the SNF
-
- Home Health Agency
- Aiken, SC
- NPI 1003846734
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- Home Health Agency
- Milan, TN
- NPI 1124043914
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- Home Health Agency
- Springfield, TN
- NPI 1255356143
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- Home Health Agency
- Greenwood, SC
- NPI 1386689529
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- Home Health Agency
- Crawfordville, FL
- NPI 1417987140
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- Home Health Agency
- Athens, TN
- NPI 1578588455
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
Facilities with the same owner 100
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Anniston, AL
- NPI 1538104484
Dimensional Fund Advisors LP, Morgan Stanley, National Health Corporation, National Healthcare Corporation, NHC-Op LP
-
- Skilled Nursing Facility
- Murfreesboro, TN
- NPI 1144245135
Dimensional Fund Advisors LP, Morgan Stanley, National Health Corporation, National Healthcare Corporation, NHC-Op LP
-
- Community Based Hospice Care Agency
- Abingdon, VA
- NPI 1164731469
National Health Corporation, National Healthcare Corporation
-
- Community Based Hospice Care Agency
- Chattanooga, TN
- NPI 1255330320
National Health Corporation, National Healthcare Corporation, NHC-Op LP
-
- Community Based Hospice Care Agency
- Bartlett, TN
- NPI 1417923525
National Health Corporation, National Healthcare Corporation, NHC-Op LP
-
- Community Based Hospice Care Agency
- Knoxville, TN
- NPI 1598768889
National Health Corporation, National Healthcare Corporation, NHC-Op LP
-
- Community Based Hospice Care Agency
- Nashville, TN
- NPI 1609879956
National Health Corporation, National Healthcare Corporation, NHC-Op LP
-
- Community Based Hospice Care Agency
- Johnson City, TN
- NPI 1780687038
National Health Corporation, National Healthcare Corporation, NHC-Op LP
-
- Community Based Hospice Care Agency
- Murfreesboro, TN
- NPI 1790788040
National Healthcare Corporation, NHC-Op LP
-
- Community Based Hospice Care Agency
- Springfield, TN
- NPI 1982656922
National Health Corporation, National Healthcare Corporation, NHC-Op LP
-
dba Caris Healthcare, Columbia
- Community Based Hospice Care Agency
- Columbia, SC
- NPI 1235377615
National Health Corporation, National Healthcare Corporation, NHC-Op LP
-
- Community Based Hospice Care Agency
- Ringgold, GA
- NPI 1740655778
National Health Corporation, National Healthcare Corporation, NHC-Op LP
Practitioners & affiliated clinicians
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.
-
- Hospitalist Physician
- Decatur, AL
- NPI 1205351335
-
- Surgery Physician
- Moulton, AL
- NPI 1679523757
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": "1152576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1635120000000",
"number": "1639104235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 HOSPITAL ST",
"city": "MOULTON",
"state": "AL",
"postal_code": "356501268",
"telephone_number": "256-974-1146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 HOSPITAL ST",
"city": "MOULTON",
"state": "AL",
"postal_code": "356501268",
"telephone_number": "256-974-1146"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NHC HEALTHCARE-MOULTON LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NATIONAL HEALTHCARE CORPORATION",
"enumeration_date": "2006-07-11",
"last_updated": "2021-10-25",
"certification_date": "2021-10-25",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "D",
"authorized_official_middle_name": "DORAN",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "931-424-1456"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "AL",
"license": "12597",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4753340S",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS",
"identifier": "3003340",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS",
"identifier": "010-631",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Moulton, AL
- Alexis Michelle Morgan, PHARMD
- Kaila Proctor Morgan, COTA/L
- Earrace Morris, CRNP
- Moultrie Pharmacy at Caddo LLC (Moultrie Pharmacy at Caddo)
- Moultrie Pharmacy at Langtown LLC (Moultrie Pharmacy at Langtown)
- Ashlyn L Nolen, BSW
- Molly Ann Oppman, MS
- Agnes Ortega, MD
- Cassie Parker, BA
- Peak Physical Therapy and Wellness II, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; 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.