Atmore Nursing Center, LLC
Organization Active NPI Nursing Facility/Intermediate Care Facility · Atmore, AL
NPI 1740249200 · NPPES record last updated Mar 6, 2024
Key facts
- NPI
- 1740249200
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nursing Facility/Intermediate Care Facility 313M00000X
- License
- 12531 (AL)
- Legal business name
- ATMORE NURSING CENTER, LLC
- Practice address
- 715 E Laurel St
Atmore, AL 36502-3113 - Phone
- (251) 368-9121
- Fax
- (251) 368-2542
- NPI assigned
- Mar 22, 2006
- Organization subpart
- No
Authorized official
- Name
- Noel Dunnam
- Title
- Cfo
- Phone
- (251) 743-7137
Facilities with the same owner 17
Practitioners 1
-
Jonah M McIntyre, M.D.
Affiliated clinicians 2
-
Jonah M McIntyre, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Atmore Nursing Center
- Overall star rating
- ★★★★★ 5 of 5
- Health inspections
- ★★★★★ 5 of 5
- Staffing
- ★★★★★ 5 of 5
- Quality measures
- ★★☆☆☆ 2 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Oct 1, 1975
- Medicare certification status
- Active
- Certified beds
- 100 · 80.3 residents per day on average
- Chain
- Crowne Health Care
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D0641742 | Atmore Nursing Center LLC | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Skilled nursing facility certification: CCN 015129
- Legal name
- ATMORE NURSING CENTER, LLC
- Doing business as
- ATMORE NURSING CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Oct 1, 1975
- Last certification
- May 27, 2021
- Beds
- 100
- Ownership / control type
- Corporation
- Multi-facility organization
- CROWNE HEALTH CARE
- Most recent change of ownership
- Nov 1, 2003
- Organization structure
- LLC · Proprietary
- Incorporated
- Sep 16, 2003 in AL
- Enrollment address
- 715 E Laurel St
Atmore, AL 36502-3113 - Nursing home name
- ATMORE NURSING CENTER
- Affiliated entity
- CROWNE HEALTH CARE
All disclosed owners & managing parties 9
| Name | Role | Since | Share |
|---|---|---|---|
| Crowne Management, LLC |
Operational/Managerial Control | Dec 10, 2009 | |
| Jennifer Jones McInnish Family Dynasty Trust #1 |
5% Or Greater Indirect Ownership Interest | Dec 31, 2016 | |
| Morgan Smith |
W-2 Managing Employee | Nov 8, 2016 | |
| Richard Bryan Jones Family Dynasty Trust #1 |
5% Or Greater Indirect Ownership Interest | Dec 31, 2016 | |
| John Todd Wilder |
Corporate Director | Dec 1, 2003 | |
| Crowne Operations, Inc |
5% Or Greater Direct Ownership Interest | Nov 1, 2003 | |
| Marcus F. Manning |
Corporate Director | Jun 11, 2015 | |
| Noel Dunnam |
Corporate Officer |
Jun 11, 2015 | |
| Corporate Director |
Jun 11, 2015 | ||
| Richard B. Jones |
Corporate Officer |
Jun 11, 2015 | |
| Corporate Director |
Jun 11, 2015 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031201000740 | AL | Part a Provider - Skilled Nursing Facility | 1850296047 | Practice locations: Atmore, AL |
National Provider Directory
Locations
715 E Laurel St
Atmore, AL 36502
Phone (251) 368-9121
611 E Laurel St
Atmore, AL 36502
Phone (251) 368-6286
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 12531 | AL | Yes |
Addresses
Primary practice location
715 E Laurel St
Atmore, AL 36502-3113
Mailing address
501 Whetstone St
Monroeville, AL 36460-2615
Phone (251) 743-3609
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4757400S | Medicaid | AL |
Other providers in Atmore, AL
- Ann Marie Nowak LPC PC
- Astound Physical Therapy
- Atmore Ambulance, Inc.
- Atmore Community Home Care, LLC
- Atmore Industrial Medicine, LLC.
- Bonita Ann Baggett
- Baldwin County Commission
- Baldwin County Girls Residential Wilderness Program
- Matthew Barnett
- Batfish Emergency Physicians LLC
All providers in Atmore, AL · Nursing Facility/Intermediate Care Facility in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.