Active NPI
Magnolia Haven Nursing Home, LLC
Doing business as Tuskegee Rehabilitation Clinic
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Tuskegee, AL
National Provider Identifier
1831429158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- License
- R4401
- Legal business name
- MAGNOLIA HAVEN NURSING HOME, LLC
- Doing business as
- Tuskegee Rehabilitation Clinic
- Practice address
- 602 Auburn St
Tuskegee, AL 36083-7274 - Phone
- (334) 727-4960
- NPI assigned
- Jan 8, 2010
- Last updated
- Jul 27, 2010
- Organization subpart
- Yes
- Parent organization
- MAGNOLIA HAVEN NURSING HOME, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Oida Gandy
- Title
- Administrator
- Phone
- (334) 727-4960
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Comprehensive Outpatient Rehabilitation Facility (CORF) | 261QR0401X | R4401 | AL | Primary |
Addresses
Primary practice location
602 Auburn St
Tuskegee, AL 36083-7274
Mailing address
602 Auburn St
Tuskegee, AL 36083-7274
Phone (334) 727-4960
Other names 1
- Tuskegee Rehabilitation Clinic
National Provider Directory
National Provider Directory- Part of
- Magnolia Haven Nursing Home LLC
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Skilled Nursing Facility
- Tuskegee, AL
- NPI 1285679142
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262908800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1280188800000",
"number": "1831429158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 AUBURN ST",
"city": "TUSKEGEE",
"state": "AL",
"postal_code": "360837274",
"telephone_number": "334-727-4960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 AUBURN ST",
"city": "TUSKEGEE",
"state": "AL",
"postal_code": "360837274",
"telephone_number": "334-727-4960"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAGNOLIA HAVEN NURSING HOME, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MAGNOLIA HAVEN NURSING HOME, LLC",
"enumeration_date": "2010-01-08",
"last_updated": "2010-07-27",
"status": "A",
"authorized_official_last_name": "GANDY",
"authorized_official_first_name": "OIDA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "334-727-4960"
},
"taxonomies": [
{
"code": "261QR0401X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
"state": "AL",
"license": "R4401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Tuskegee Rehabilitation Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Tuskegee, AL
- Macon County Health Dept Prev Health Ed
- Macon County Health Dept Pri Care
- Macon County Health Dept STD
- Macon County Health Dept VFC Immun
- Magnolia Haven Nursing Home LLC
- Victoria Marriott, RD, LD
- Joi Carmel Marsh, LMSW
- Fazle Matin, MD
- Maxwell Alternative Residential Services, Inc.
- Royal Bettis Maxwell
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.