NPIMap

Organization Active NPI

Cogburn Health & Rehabilitation, Inc.

  • Skilled Nursing Facility
  • Mobile, AL
National Provider Identifier
1649260225
Registry record updated Apr 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
103749 Issued in AL
Legal business name
COGBURN HEALTH & REHABILITATION, INC.
Practice address
148 Tuscaloosa St
Mobile, AL 36607-3408
Phone
(251) 471-5431
Fax
(251) 476-7124
NPI assigned
Oct 25, 2005
Last updated
Apr 13, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2009

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

Authorized official

Name
Prentiss Smith
Title
Chief Operating Officer
Phone
(251) 476-4700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 103749 AL Primary

Addresses

Primary practice location

148 Tuscaloosa St
Mobile, AL 36607-3408

Mailing address

148 Tuscaloosa St
Mobile, AL 36607-3408
Phone (251) 471-5431

Other identifiers 1

IdentifierTypeStateIssuer
103749OtherALLICENSE NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Ashland Place Health and Rehabilitation LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239580800000",
    "number": "1649260225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 TUSCALOOSA ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073408",
            "telephone_number": "251-471-5431",
            "fax_number": "251-476-7124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 TUSCALOOSA ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073408",
            "telephone_number": "251-471-5431",
            "fax_number": "251-476-7124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COGBURN HEALTH & REHABILITATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-25",
        "last_updated": "2009-04-13",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "PRENTISS",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "251-476-4700"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AL",
            "license": "103749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "103749",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2009; 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.