NPIMap

Organization Active NPI

Athens Health and Rehabilitation LLC

  • Skilled Nursing Facility
  • Athens, AL
National Provider Identifier
1790158418
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ATHENS HEALTH AND REHABILITATION LLC
Practice address
611 W Market St
Athens, AL 35611-2460
Phone
(256) 232-1620
NPI assigned
Nov 3, 2015
Last updated
Oct 28, 2020By the provider in NPPES
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
Mr. Phillip Cody Long
Title
Vice President/Cfo
Phone
(205) 391-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

611 W Market St
Athens, AL 35611-2460

Mailing address

611 W Market St
Athens, AL 35611-2460
Phone (256) 232-1620

Other identifiers 1

IdentifierTypeStateIssuer
138130MedicaidAL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151223001358 AL Part A Provider - Skilled Nursing Facility 9133420763 Practice locations: Athens, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1790158418. Details of each certification follow.

Skilled nursing facility certification: CCN 015016

Legal name
ATHENS HEALTH AND REHABILITATION LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1967
Last certification
Apr 14, 2022
Beds
149
Ownership / control type
Corporation
Multi-facility organization
NORTHPORT HEALTH SERVICES
Most recent change of ownership
Jan 1, 2016
Organization structure
LLCProprietary
Incorporated
Oct 6, 2015 in AL
Enrollment address
611 W Market St
Athens, AL 35611-2460
Nursing home name
ATHENS HEALTH AND REHABILITATION LLC
Affiliated entity
NHS MANAGEMENT

Care Compare: Nursing home

Medicare Care Compare
Listed as
Athens Health and Rehabilitation LLCCCN 015016 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 1, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
149139.4 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
01D0955107Athens Health and Rehabilitation LLC611 W Market St, Athens, AL 35611Certificate of waiverDec 16, 2026

National Provider Directory

National Provider Directory
Tax ID family
Athens Health and Rehab2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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
Tammy Cox Individual Corporate DirectorRegional Nurse Consultant Oct 23, 2023 33%
Operational/Managerial ControlRegional Nurse Consultant Oct 23, 2023 33%
James Norman Estes Jr TR Organization, Vestavia, AL 5% Or Greater Indirect Ownership Interest Oct 6, 2015 6.25%
Lynn S Rasco Individual Corporate DirectorDirector of Qa/Corp Compliance Ofcr Jul 1, 2022 33%
Operational/Managerial ControlDirector of Qa/Corp Compliance Ofcr Jul 1, 2022 33%
Best Health, LLC Organization, Athens, AL LLC, For-profit 5% Or Greater Security Interest Jan 1, 2016
Jennifer Lee Estes TR 031093 Organization, Vestavia, AL 5% Or Greater Indirect Ownership Interest Oct 6, 2015 6.25%
James Norman Estes Individual 5% Or Greater Indirect Ownership InterestPresident/Treasurer Oct 6, 2015 51%
Corporate OfficerPresident/Treasurer Oct 6, 2015 100%
Phillip Cody Long Individual Corporate OfficerVice President/Secretary Oct 1, 2019
Other Jan 1, 2022 49%
Jennifer E Agee Family Dynasty TR No 2 Organization, Tuscaloosa, AL 5% Or Greater Indirect Ownership Interest Oct 6, 2015 18.25%
Northport Holding Operations, LLC Organization, Tuscaloosa, AL LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Oct 6, 2015 100%
Sonny J Ward Individual Corporate DirectorRegional Administrator May 10, 2024 33%
Operational/Managerial ControlRegional Administrator May 10, 2024 33%
James N Estes Jr Family Dynasty TR No 2 Organization, Tuscaloosa, AL 5% Or Greater Indirect Ownership Interest Oct 6, 2015 18.25%
Regions Bank Organization, Birmingham, AL Corporation, Financial institution, For-profit 5% Or Greater Security Interest Aug 1, 2016
Brandon S. Agee Individual Other Jan 1, 2022 49%
Hunter Lawrence Individual W-2 Managing EmployeeAdministrator Apr 1, 2022 100%
Operational/Managerial ControlAdministrator Apr 1, 2022 100%
NHS Management LLC Organization, Tuscaloosa, AL LLC, For-profit Other Oct 6, 2015

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, and the practitioner matching its NPPES authorized official.

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": "1446508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603843200000",
    "number": "1790158418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W MARKET ST",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356112460",
            "telephone_number": "256-232-1620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 W MARKET ST",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356112460",
            "telephone_number": "256-232-1620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENS HEALTH AND REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-03",
        "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/CFO",
        "authorized_official_telephone_number": "205-391-3600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138130",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, AL

Sources for this page

Verify at the official NPI Registry.