Organization Active NPI

Parkwood Health Care Facility, LLC

  • Nursing Facility/Intermediate Care Facility
  • Phenix City, AL
National Provider Identifier
1659330132
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
12669 Issued in AL
Legal business name
PARKWOOD HEALTH CARE FACILITY, LLC
Practice address
3301 Stadium Dr
Phenix City, AL 36867-3115
Phone
(334) 297-0237
Fax
(334) 297-0328
NPI assigned
Mar 22, 2006
Last updated
Mar 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Authorized official

Name
Noel Dunnam
Title
Cfo
Phone
(251) 743-7137

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 12669 AL Primary

Addresses

Primary practice location

3301 Stadium Dr
Phenix City, AL 36867-3115

Mailing address

501 Whetstone St
Monroeville, AL 36460-2615
Phone (251) 743-3609

Other identifiers 1

IdentifierTypeStateIssuer
4755700SMedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031203000483 AL Part A Provider - Skilled Nursing Facility 8426953423 Practice locations: Phenix City, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1659330132. Details of each certification follow.

Skilled nursing facility certification: CCN 015179

Legal name
PARKWOOD HEALTH CARE FACILITY, LLC
Doing business as
PARKWOOD HEALTH CARE FACILITY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 1, 1978
Last certification
Dec 5, 2019
Beds
74
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Crowne Health Care
Organization structure
LLCProprietary
Incorporated
Sep 11, 2003 in AL
Enrollment address
3301 Stadium Dr
Phenix City, AL 36867-3115
Nursing home name
PARKWOOD HEALTH CARE FACILITY
Affiliated entity
CROWNE HEALTH CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Parkwood Health Care FacilityCCN 015179 · All quality measures
Overall star rating
5 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jul 1, 1978
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7471.3 residents per day on average
Chain
Crowne Health Care18 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D1018407Parkwood Health Care Facility3301 Stadium Drive, Phenix City, AL 36867Certificate of waiverOct 20, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Crowne Management, LLC Organization, Monroeville, AL LLC Operational/Managerial Control Dec 10, 2009
Jennifer Jones McInnish Family Dynasty Trust #1 Organization, Monroeville, AL 5% Or Greater Indirect Ownership Interest Dec 31, 2016
Richard Bryan Jones Family Dynasty Trust #1 Organization, Monroeville, AL 5% Or Greater Indirect Ownership Interest Dec 31, 2016
John Todd Wilder Individual Corporate Director Dec 3, 2003
Crowne Operations, Inc Organization, Monroeville, AL Corporation 5% Or Greater Direct Ownership Interest Nov 1, 2003
Marcus F. Manning Individual Corporate Director Jun 11, 2015
Trenton McInnish Individual W-2 Managing Employee Aug 10, 2018
Noel Dunnam Individual Corporate OfficerCfo/Secretary Jun 11, 2015
Corporate DirectorCfo/Secretary Jun 11, 2015
Richard B. Jones Individual Corporate OfficerCeo/Vice President Jun 11, 2015
Corporate DirectorCeo/Vice President Jun 11, 2015

Facilities with the same owner 17

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 17

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.

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": "1142985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1659330132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 WHETSTONE ST",
            "city": "MONROEVILLE",
            "state": "AL",
            "postal_code": "364602615",
            "telephone_number": "251-743-3609",
            "fax_number": "251-575-5618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 STADIUM DR",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368673115",
            "telephone_number": "334-297-0237",
            "fax_number": "334-297-0328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKWOOD HEALTH CARE FACILITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-22",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A",
        "authorized_official_last_name": "DUNNAM",
        "authorized_official_first_name": "NOEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "251-743-7137"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "AL",
            "license": "12669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4755700S",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phenix City, AL

Sources for this page

Verify at the official NPI Registry.