Organization Active NPI

Twin Oaks Nursing Home LLC

  • Skilled Nursing Facility
  • Mobile, AL
National Provider Identifier
1730124546
Registry record updated Nov 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
12640 Issued in AL
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

Updated by the provider on Nov 14, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4750800SMedicaidAL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 CenterCCN 015211
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 1, 1978
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
131123.7 residents per day on average
Chain
Ball Healthcare Services9 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
01D0305989Twin Oaks Rehabilitation & Healthcare Center857 Crawford Lane, Mobile, AL 36617Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Lakeisha M Bryant Individual Operational/Managerial Control Aug 7, 2014
Clarence Melvin Ball Individual 5% Or Greater Direct Ownership InterestPresident & Ceo Jul 1, 2003 100%
Corporate DirectorPresident & Ceo Jul 11, 2003 100%
Ball Healthcare Inc Organization, Mobile, AL Corporation Adp of the SNF Jul 1, 2003
Lawrence D King Individual Operational/Managerial Control May 1, 2019
Adp of the SNF Jul 21, 2025
Organization, Chicago, IL Corporation, Financial institution Adp of the SNF Apr 10, 2025
Organization, Oneonta, AL LLC, Consulting firm Adp of the SNF Apr 10, 2025
Ball Healthcare Service, Inc Organization, Mobile, AL Chain home office Adp of the SNF Apr 10, 2025
Matthew Hall Individual Corporate OfficerChief Finance Officer Sep 16, 2014
Adp of the SNF Oct 1, 2014
Organization, Alabaster, AL LLC, Consulting firm Adp of the SNF Apr 10, 2025
Organization, Mobile, AL LLC, Medical provider/supplier Adp of the SNF Apr 10, 2025
Herbert a. Stone Individual 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.

Practitioners & affiliated clinicians

Practitioners 2

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

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

Verify at the official NPI Registry.