Haleyville Health Care Center Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

10674 Issued in AL

Legal business name

HALEYVILLE HEALTH CARE CENTER INC

Practice address

2201 11TH Ave
Haleyville, AL 35565-1613

Phone

(205) 486-9478

Fax

(205) 486-8393

NPI assigned

Jun 22, 2005

Last updated

Feb 15, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tracy Hooker

Title

Administrator

Phone

(205) 486-9478

Specialties & licenses 1

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644883200000",
    "number": "1881690154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 11TH AVE",
            "address_2": "PO BOX 160",
            "city": "HALEYVILLE",
            "state": "AL",
            "postal_code": "355651613",
            "telephone_number": "205-486-9478",
            "fax_number": "205-486-8393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 11TH AVE",
            "city": "HALEYVILLE",
            "state": "AL",
            "postal_code": "355651613",
            "telephone_number": "205-486-9478",
            "fax_number": "205-486-8393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALEYVILLE HEALTH CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A",
        "authorized_official_last_name": "HOOKER",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "205-486-9478"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AL",
            "license": "10674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "010647",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4754830S",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Brooke Goar, M.D.
• Barry Chase Gunter, CRNP
• H.S. Lee M.D. PA
• Haley's Pharmacy (Haley's Pharmacy, LLC)
• Haleyville City
• Haleyville Medical Arts Drugs Inc (Medical Arts Drugs)
• Haleyville Medical Associates Inc
• Haleyville SNF Operations LLC (Haleyville Rehabilitation and Healthcare Center)
• Jessica Loraine Hammonds, CRNP
• Boyde J Harrison, MD

• Skilled Nursing Facility in Haleyville, AL
• Providers in Haleyville, AL by specialty
• Skilled Nursing Facility in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.