NPIMap

Organization Active NPI

Crowne Health Care of North Baldwin, LLC

  • Skilled Nursing Facility
  • Bay Minette, AL
National Provider Identifier
1679280796
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CROWNE HEALTH CARE OF NORTH BALDWIN, LLC
Practice address
2010 Medical Center Dr
Bay Minette, AL 36507-4163
Phone
(251) 937-3501
NPI assigned
Oct 28, 2022
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
Mrs. Noel Dunnam
Title
Cfo
Phone
(251) 743-7137

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2010 Medical Center Dr
Bay Minette, AL 36507-4163

Mailing address

501 Whetstone St
Monroeville, AL 36460-2615
Phone (251) 743-7102

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221229000424 AL Part A Provider - Skilled Nursing Facility 5698145076 Practice locations: Bay Minette, AL

Skilled nursing facility certification: CCN 015417

Legal name
CROWNE HEALTH CARE OF NORTH BALDWIN LLC
Doing business as
CROWNE HEALTH CARE OF NORTH BALDWIN
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 12, 1991
Last certification
Nov 18, 2021
Beds
75
Ownership / control type
Nonprofit Corporation
Multi-facility organization
GULF HEALTH HOSPITALS
Most recent change of ownership
Oct 1, 2022
Organization structure
LLCProprietary
Enrollment address
2010 Medical Center Dr
Bay Minette, AL 36507-4163
Nursing home name
CROWNE HEALTHCARE OF NORTH BALDWIN
Affiliated entity
CROWNE HEALTH CARE

National Provider Directory

National Provider Directory

Locations

1903 Hand Ave
Bay Minette, AL 36507
Phone (251) 580-1701

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, Management services company, For-profit Operational/Managerial Control Oct 1, 2022
John Todd Wilder Individual Corporate DirectorBoard Member Aug 4, 2022 20%
Crowne Operations, Inc Organization, Monroeville, AL Corporation, Holding company, For-profit 5% Or Greater Direct Ownership Interest Aug 4, 2022 100%
Bryan K Baggett Individual Operational/Managerial Control Oct 1, 2022
Jennifer McInnish Individual 5% Or Greater Direct Ownership Interest Aug 4, 2022 50%
Marcus F. Manning Individual Corporate DirectorBoard Member Aug 4, 2022 20%
Noel Dunnam Individual Corporate OfficerCfo/Secretary & Board Member Aug 4, 2022 33.3%
Corporate DirectorCfo/Secretary & Board Member Aug 4, 2022 20%
Richard B. Jones Individual 5% Or Greater Direct Ownership Interest Aug 4, 2022 50%
Corporate OfficerCeo & Board Member Aug 4, 2022 33.3%
Corporate DirectorCeo & Board Member Aug 4, 2022 20%
North Baldwin Real Estate, LLC Organization, Monroeville, AL LLC, For-profit 5% Or Greater Mortgage Interest Oct 1, 2022

Facilities with the same owner 17

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

View all 17

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Care Compare: Nursing home

Medicare Care Compare
Listed as
Crowne Healthcare of North BaldwinCCN 015417
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
5 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jun 12, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7571.2 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
01D0863628Crowne Health Care of North Baldwin, LLC2010 Medical Center Dr, Bay Minette, AL 36507Certificate of waiverAug 31, 2026

NPI Registry JSON

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

{
    "created_epoch": "1666915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1679280796",
    "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": "251-743-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 MEDICAL CENTER DR",
            "city": "BAY MINETTE",
            "state": "AL",
            "postal_code": "365074163",
            "telephone_number": "251-937-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWNE HEALTH CARE OF NORTH BALDWIN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-28",
        "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",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Minette, AL

Sources for this page

Verify at the official NPI Registry.