Active NPI
Twin Oaks Nursing Home LLC
- Skilled Nursing Facility
- Mobile, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 12640
- Legal business name
- TWIN OAKS NURSING HOME LLC
- Practice address
- 857 Crawford LN
Mobile, AL 36617-3877 - Phone
- (251) 476-3420
- Fax
- (251) 476-0323
- NPI assigned
- Jun 17, 2006
- 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
- Mr. George Michael Mixon
- Title
- Administrator
- Phone
- (251) 476-3420
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 12640 | AL | Primary |
Addresses
Primary practice location
857 Crawford LN
Mobile, AL 36617-3877
Mailing address
1 Southern Way
Mobile, AL 36619-1210
Phone (251) 433-9801
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4750800S | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030711000013 | AL | Part A Provider - Skilled Nursing Facility | 3678483567 | Practice locations: Mobile, AL |
Skilled nursing facility certification: CCN 015211
- Legal name
- TWIN OAKS NURSING HOME LLC
- Doing business as
- TWIN OAKS REHABILITATION & HEALTHCARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1978
- Last certification
- Oct 26, 2023
- Beds
- 131
- Ownership / control type
- Corporation
- Multi-facility organization
- BALL HEALTHCARE SERVICES
- Most recent change of ownership
- Jul 1, 2003
- Organization structure
- LLC
- Incorporated
- Jul 1, 2003 in AL
- Enrollment address
- 857 Crawford Lane
Mobile, AL 36617-3877 - Nursing home name
- TWIN OAKS REHABILITATION AND HEALTHCARE CENTER
- Affiliated entity
- BALL HEALTHCARE SERVICES
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Twin Oaks Rehabilitation and Healthcare Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jan 1, 1978
- Medicare certification status
- Active
- Certified beds
- 131
- Chain
- Ball Healthcare Services
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 |
|---|---|---|---|
| 01D0305989 | Twin Oaks Rehabilitation & Healthcare Center | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 11
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 |
|---|---|---|---|
| Lakeisha M Bryant | Operational/Managerial Control | Aug 7, 2014 | |
| Clarence Melvin Ball | 5% Or Greater Direct Ownership Interest | Jul 1, 2003 | 100% |
| Corporate Director | Jul 11, 2003 | 100% | |
| Ball Healthcare Inc | Adp of the SNF | Jul 1, 2003 | |
| Lawrence D King | Operational/Managerial Control | May 1, 2019 | |
| Adp of the SNF | Jul 21, 2025 | ||
| Adp of the SNF | Apr 10, 2025 | ||
| Adp of the SNF | Apr 10, 2025 | ||
| Ball Healthcare Service, Inc | Adp of the SNF | Apr 10, 2025 | |
| Matthew Hall | Corporate Officer | Sep 16, 2014 | |
| Adp of the SNF | Oct 1, 2014 | ||
| Adp of the SNF | Apr 10, 2025 | ||
| Adp of the SNF | Apr 10, 2025 | ||
| Herbert a. Stone | Operational/Managerial Control | Mar 13, 2013 | |
| Adp of the SNF | Mar 13, 2013 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Emergency Medicine Physician
- Spanish Fort, AL
- NPI 1285667162
Adp of the SNF, Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Mobile, AL
- NPI 1437317385
-
- Emergency Medicine Physician
- Spanish Fort, AL
- NPI 1285667162
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": "1150502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1479081600000",
"number": "1730124546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 SOUTHERN WAY",
"city": "MOBILE",
"state": "AL",
"postal_code": "366191210",
"telephone_number": "251-433-9801",
"fax_number": "251-433-9807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "857 CRAWFORD LN",
"city": "MOBILE",
"state": "AL",
"postal_code": "366173877",
"telephone_number": "251-476-3420",
"fax_number": "251-476-0323"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TWIN OAKS NURSING HOME LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-17",
"last_updated": "2016-11-14",
"status": "A",
"authorized_official_last_name": "MIXON",
"authorized_official_first_name": "GEORGE",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "251-476-3420",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "AL",
"license": "12640",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4750800S",
"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 Nov 14, 2016; 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.