Organization Active NPI

Phenix City Health Care, LLC

  • Skilled Nursing Facility
  • Phenix City, AL
National Provider Identifier
1750469862
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
12670 Issued in AL
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 GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
47-533105MedicaidAL

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.

Verify at the official NPI Registry.