Thomasville Health Care and Rehabilitation Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

12500 Issued in AL

Legal business name

THOMASVILLE HEALTH CARE AND REHABILITATION CENTER

Practice address

1425 Mosley Dr
Thomasville, AL 36784-3334

Phone

(334) 636-5614

Fax

(334) 636-1021

NPI assigned

Aug 1, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Diane O Gatlin

Title

Administrator

Phone

(334) 636-5614

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Thomasville Health Care and Rehabilitation Center Doing business as

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357603200000",
    "number": "1750397402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 MOSLEY DR",
            "city": "THOMASVILLE",
            "state": "AL",
            "postal_code": "367843334",
            "telephone_number": "334-636-5614",
            "fax_number": "334-636-1021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 MOSLEY DR",
            "city": "THOMASVILLE",
            "state": "AL",
            "postal_code": "367843334",
            "telephone_number": "334-636-5614",
            "fax_number": "334-636-1021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMASVILLE HEALTH CARE AND REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2013-01-08",
        "status": "A",
        "authorized_official_last_name": "GATLIN",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "334-636-5614",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AL",
            "license": "12500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4754390S",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "010584",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DME",
            "identifier": "000028598",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thomasville Health Care and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Thomasville, AL
• Skilled Nursing Facility in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.