NPIMap

Organization Active NPI

Legacy Health and Rehabilitation of Pleasant Grove, LLC

  • Skilled Nursing Facility
  • Pleasant Grove, AL
National Provider Identifier
1770781114
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
N3748 Issued in AL
Legal business name
LEGACY HEALTH AND REHABILITATION OF PLEASANT GROVE, LLC
Practice address
30 7TH St
Pleasant Grove, AL 35127-1962
Phone
(205) 744-8226
NPI assigned
Jul 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Authorized official

Name
Phillip Cody Long
Title
Vice-President
Phone
(205) 391-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X N3748 AL Primary

Addresses

Primary practice location

30 7TH St
Pleasant Grove, AL 35127-1962

Mailing address

30 7TH St
Pleasant Grove, AL 35127-1962
Phone (205) 744-8226

Other identifiers 2

IdentifierTypeStateIssuer
013348OtherALBLUE CROSS BLUE SHIELD
4758210SMedicaidAL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071102000023 AL Part A Provider - Skilled Nursing Facility 5193812428 Practice locations: Pleasant Grove, AL

Skilled nursing facility certification: CCN 015461

Legal name
LEGACY HEALTH AND REHABILITATION OF PLEASANT GROVE, LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 15, 2008
Last certification
Feb 11, 2022
Beds
198 (189 certified)
Ownership / control type
Corporation
Multi-facility organization
NHS MANAGEMENT LLC
Organization structure
LLCProprietary
Incorporated
May 29, 2007 in AL
Enrollment address
30 7TH St
Pleasant Grove, AL 35127-1962
Nursing home name
LEGACY HEALTH AND REHABILITATION OF PLEASANT GROVE
Affiliated entity
NHS MANAGEMENT

Care Compare: Nursing home

Medicare Care Compare
Listed as
Legacy Health and Rehabilitation of Pleasant GroveCCN 015461 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
4 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 15, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
189133.6 residents per day on average
Chain
NHS Management43 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
01D1076842Legacy Health & Rehab of Pleasant Grove30 7TH Street, Pleasant Grove, AL 35127Certificate of waiverNov 25, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
James Norman Estes Jr TR Organization, Vestavia, AL 5% Or Greater Indirect Ownership Interest Jul 1, 2013 6.25%
Lynn S Rasco Individual Corporate DirectorDirector of Qa/Corp Compliance Ofcr Jul 29, 2013 33%
Operational/Managerial ControlDirector of Qa/Corp Compliance Ofcr Jul 29, 2013 33%
Maegan E. Darby Individual Operational/Managerial Control Oct 14, 2024
Adp of the SNF Jan 31, 2025
Jennifer Lee Estes TR 031093 Organization, Vestavia, AL 5% Or Greater Indirect Ownership Interest Jul 1, 2013 6.25%
James Norman Estes Individual 5% Or Greater Indirect Ownership InterestPresident/Treasurer May 29, 2007 51%
Corporate OfficerPresident/Treasurer May 29, 2007 100%
Holding Facilities Group LLC Organization, Tuscaloosa, AL LLC, Holding company, For-profit 5% Or Greater Security Interest Jun 1, 2012
Phillip Cody Long Individual Corporate OfficerVice President/Secretary Oct 1, 2019
Jennifer E Agee Family Dynasty TR No 2 Organization, Tuscaloosa, AL 5% Or Greater Indirect Ownership Interest Jan 1, 2013 18.25%
Hilary R. Morris Individual Corporate DirectorRegional Nurse Consultant Sep 1, 2023 33%
Operational/Managerial ControlRegional Nurse Consultant Sep 1, 2023 33%
Northport Holding Operations, LLC Organization, Tuscaloosa, AL LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest May 29, 2007 100%
Pleasant Grove Health Realty LLC Organization, Tuscaloosa, AL LLC, For-profit 5% Or Greater Security Interest Jun 1, 2012
James N Estes Jr Family Dynasty TR No 2 Organization, Tuscaloosa, AL 5% Or Greater Indirect Ownership Interest Jan 1, 2013 18.25%
Leigh Ann Cobb Individual Corporate DirectorRegional Administrator Jul 24, 2023 33%
Operational/Managerial ControlRegional Administrator Jul 24, 2023 33%
Capital Funding LLC Organization, Baltimore, MD LLC, Financial institution, For-profit 5% Or Greater Mortgage Interest Jun 1, 2012
5% Or Greater Security Interest Jun 1, 2012
Servisfirst Bank Organization, Birmingham, AL Corporation, Financial institution, For-profit 5% Or Greater Security Interest Aug 29, 2018

Facilities with the same owner 42

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 42

Practitioners & affiliated clinicians

Practitioners 1

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": "1183680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603843200000",
    "number": "1770781114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 7TH ST",
            "city": "PLEASANT GROVE",
            "state": "AL",
            "postal_code": "351271962",
            "telephone_number": "205-744-8226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 7TH ST",
            "city": "PLEASANT GROVE",
            "state": "AL",
            "postal_code": "351271962",
            "telephone_number": "205-744-8226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY HEALTH AND REHABILITATION OF PLEASANT GROVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-06",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "CODY",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "205-391-3600"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AL",
            "license": "N3748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "013348",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4758210S",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Grove, AL

Sources for this page

Verify at the official NPI Registry.