NPIMap

Organization Active NPI

Community Hospital Inc

Doing business as Community Skilled Care and Rehab

  • Medicare Defined Swing Bed Hospital Unit
  • Tallassee, AL
National Provider Identifier
1821472515
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
COMMUNITY HOSPITAL INC
Doing business as
Community Skilled Care and Rehab
Practice address
805 Friendship Rd
Tallassee, AL 36078-1234
Phone
(334) 283-6541
Fax
(334) 283-3787
NPI assigned
Jul 13, 2015
Last updated
Aug 2, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
COMMUNITY HOSPITAL INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Authorized official

Name
Lee S Greer
Title
Cfo
Phone
(334) 283-6541

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X Primary

Addresses

Primary practice location

805 Friendship Rd
Tallassee, AL 36078-1234

Mailing address

805 Friendship Rd
Tallassee, AL 36078-1234
Phone (334) 283-6541

Other names 1

  • COMMUNITY SKILLED CARE AND REHAB Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160215002465 AL Part A Provider - Hospital 2062408487 Practice locations: Tallassee, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821472515. Details of each certification follow.

Hospital certification: CCN 01U034

Legal name
COMMUNITY HOSPITAL INC
Organization structure
CorporationProprietary
Incorporated
Feb 24, 1926 in AL
Enrollment address
805 Friendship Rd
Tallassee, AL 36078-1234
Main/Primary Hospital Location
Hospital subgroups
Swing-bed approved

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
William L Poole MD13 organizations share this tax ID, including this one
Part of
William L Poole MD

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Jennie Rhinehart Individual Corporate OfficerCeo Nov 20, 2007
W-2 Managing EmployeeCeo Nov 20, 2007
Lee Greer Individual Corporate OfficerCfo Nov 20, 2007
W-2 Managing EmployeeCfo Nov 20, 2007

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Community Home HealthTallassee, AL, CCN 017135 Home health agency 5% Or Greater Direct Ownership Interest (20%) Sep 20, 2019
Community Hospice CareTallassee, AL, CCN 011583 Hospice 5% Or Greater Direct Ownership Interest (75%)
Operational/Managerial Control (75%)		 Jul 1, 2023
Jul 1, 2023

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • C & P Home Health, LLC

    dba Community Home Health

    • Home Health Agency
    • Tallassee, AL
    • NPI 1952958019

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • C & P Hospice, LLC

    dba Community Hospice Care

    • Community Based Hospice Care Agency
    • Tallassee, AL
    • NPI 1487714218

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership

Practitioners & affiliated clinicians

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": "1436745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690934400000",
    "number": "1821472515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 FRIENDSHIP RD",
            "city": "TALLASSEE",
            "state": "AL",
            "postal_code": "360781234",
            "telephone_number": "334-283-6541",
            "fax_number": "334-283-3787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 FRIENDSHIP RD",
            "city": "TALLASSEE",
            "state": "AL",
            "postal_code": "360781234",
            "telephone_number": "334-283-6541",
            "fax_number": "334-283-3787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HOSPITAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY HOSPITAL INC",
        "enumeration_date": "2015-07-13",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A",
        "authorized_official_last_name": "GREER",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "334-283-6541"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMMUNITY SKILLED CARE AND REHAB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tallassee, AL

Sources for this page

Verify at the official NPI Registry.