Active NPI
St. Clair Health & Rehab, Inc.
Doing business as St Clair Health & Rehab
- Skilled Nursing Facility
- Pell City, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 12673
- Legal business name
- ST. CLAIR HEALTH & REHAB, INC.
- Doing business as
- St Clair Health & Rehab
- Practice address
- 7300 Hwy 78E
Pell City, AL 35128 - Phone
- (205) 640-5212
- Fax
- (205) 640-7782
- NPI assigned
- Oct 27, 2006
- Last updated
- Dec 2, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Judy Gant
- Title
- Administrator
- Phone
- (205) 640-5212
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 12673 | AL | Primary |
Addresses
Primary practice location
7300 Hwy 78E
Pell City, AL 35128
Mailing address
7300 Highway 78E
Pell City, AL 35128
Phone (205) 640-5212
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4757650S | Medicaid | AL |
Other names 1
- St Clair Health & Rehab
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040923000996 | AL | Part A Provider - Skilled Nursing Facility | 2365410644 | Practice locations: Pell City, AL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1669558086. Details of each certification follow.
Skilled nursing facility certification: CCN 015400
- Legal name
- ST. CLAIR HEALTH & REHAB, INC.
- Doing business as
- ST CLAIR HEALTH & REHAB
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Feb 11, 1988
- Last certification
- Jun 21, 2023
- Beds
- 59
- Ownership / control type
- Corporation
- Most recent change of ownership
- Oct 1, 2004
- Organization structure
- Corporation
- Incorporated
- Aug 2, 2004 in AL
- Enrollment address
- 7300 Highway 78
Pell City, AL 35128-4967 - Nursing home name
- MEADOWVIEW NURSING CENTER
- Affiliated entity
- TRINITY MANAGEMENT, INC.
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Meadowview Nursing Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Feb 11, 1988
- Medicare certification status
- Active
- Certified beds
- 59
- Chain
- Trinity Management, Inc.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D2003290 | St Clair Health and Rehab Inc | Certificate of waiver | Feb 3, 2028 |
National Provider Directory
National Provider DirectoryOwnership & 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 |
|---|---|---|---|
| Bradley D. Long | 5% Or Greater Direct Ownership Interest | Jan 1, 2006 | 50% |
| Corporate Officer | Jan 26, 2011 | 50% | |
| Corporate Director | Jan 26, 2011 | 50% | |
| Operational/Managerial Control | Jan 26, 2011 | 50% | |
| Mark Sims | 5% Or Greater Direct Ownership Interest | May 1, 2022 | 50% |
| Corporate Officer | May 1, 2022 | 50% | |
| Corporate Director | May 1, 2022 | 50% | |
| Operational/Managerial Control | May 1, 2022 | 50% | |
| Trintiy Management, Inc. | Operational/Managerial Control | Oct 1, 2004 | 100% |
Facilities with the same owner 3
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Altoona Health & Rehab
- Skilled Nursing Facility
- Altoona, AL
- NPI 1609868595
Trintiy Management, Inc.
-
dba Cloverdale Rehabilitation and Nursing Center
- Skilled Nursing Facility
- Scottsboro, AL
- NPI 1922004811
Trintiy Management, Inc.
-
dba TLC Nursing Center
- Skilled Nursing Facility
- Oneonta, AL
- NPI 1134111081
Trintiy Management, Inc.
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.
-
- Family Medicine Physician
- Pell City, AL
- NPI 1427317494
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": "1161907200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1228176000000",
"number": "1669558086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7300 HIGHWAY 78E",
"city": "PELL CITY",
"state": "AL",
"postal_code": "35128",
"telephone_number": "205-640-5212",
"fax_number": "205-640-7782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7300 HWY 78E",
"city": "PELL CITY",
"state": "AL",
"postal_code": "35128",
"telephone_number": "205-640-5212",
"fax_number": "205-640-7782"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. CLAIR HEALTH & REHAB, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-27",
"last_updated": "2008-12-02",
"status": "A",
"authorized_official_last_name": "GANT",
"authorized_official_first_name": "JUDY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "205-640-5212",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "AL",
"license": "12673",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4757650S",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "St Clair Health & Rehab",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pell City, AL
- St Clair County Health Dept-Pell City Pri Care
- St Clair County Health Dept-Pell City VFC Immun
- St Clair Eye PLLC (St Clair Eye)
- St Vincents St Clair LLC (St Clair Emergency Department)
- St. Clair Emergency Physicians, LLC.
- Jennifer Joy St. John, CRNP
- St. Vincent's Home Health, LLC (Ascension at Home)
- St. Vincent's Home Medical Services, LLC (UAB St. Vincent's Home Medical Services)
- St. Vincent's St. Clair, LLC
- St. Vincent's St. Clair, LLC (Medical Center Pell City)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2008; 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.