Active NPI
Phenix City Health Care, LLC
- Skilled Nursing Facility
- Phenix City, AL
National Provider Identifier
1750469862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 12670
- Legal business name
- PHENIX CITY HEALTH CARE, LLC
- Practice address
- 3900 Lakewood Dr
Phenix City, AL 36867-2448 - Phone
- (334) 298-8247
- Fax
- (334) 298-1073
- NPI assigned
- Nov 2, 2006
- Organization subpart
- Yes
- Parent organization
- HUIE GROUP
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John Huie
- Title
- Vice President/Secretary
- Phone
- (205) 625-3100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 12670 | AL | Primary |
Addresses
Primary practice location
3900 Lakewood Dr
Phenix City, AL 36867-2448
Mailing address
3900 Lakewood Dr
Phenix City, AL 36867-2448
Phone (334) 298-8247
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47-533105 | Medicaid | AL |
National Provider Directory
National Provider Directory- Part of
- Phenix City Health Care LLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1661472000000",
"number": "1750469862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3900 LAKEWOOD DR",
"city": "PHENIX CITY",
"state": "AL",
"postal_code": "368672448",
"telephone_number": "334-298-8247",
"fax_number": "334-298-1073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 LAKEWOOD DR",
"city": "PHENIX CITY",
"state": "AL",
"postal_code": "368672448",
"telephone_number": "334-298-8247",
"fax_number": "334-298-1073"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHENIX CITY HEALTH CARE, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HUIE GROUP",
"enumeration_date": "2006-11-02",
"last_updated": "2022-08-26",
"certification_date": "2022-08-26",
"status": "A",
"authorized_official_last_name": "HUIE",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "VICE PRESIDENT/SECRETARY",
"authorized_official_telephone_number": "205-625-3100",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "AL",
"license": "12670",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47-533105",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phenix City, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.