Organization Active NPI

Longleaf Health & Rehab LLC

  • Skilled Nursing Facility
  • Montgomery, AL
National Provider Identifier
1902447626
Registry record updated Apr 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LONGLEAF HEALTH & REHAB LLC
Practice address
1300 E South Blvd
Montgomery, AL 36116-2318
Phone
(334) 593-7724
Fax
(334) 676-2233
NPI assigned
Oct 3, 2019
Last updated
Apr 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2020

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

Authorized official

Name
Shalom Lerner
Title
Manager
Phone
(718) 564-6560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1300 E South Blvd
Montgomery, AL 36116-2318

Mailing address

1300 E South Blvd
Montgomery, AL 36116-2318
Phone (334) 593-7724

National Provider Directory

National Provider Directory

Locations

1300 E South Blvd
Montgomery, AL 36116
Phone (334) 288-0122

NPI Registry JSON

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587081600000",
    "number": "1902447626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 E SOUTH BLVD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361162318",
            "telephone_number": "334-593-7724",
            "fax_number": "334-676-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 E SOUTH BLVD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361162318",
            "telephone_number": "334-593-7724",
            "fax_number": "334-676-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGLEAF HEALTH & REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-03",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A",
        "authorized_official_last_name": "LERNER",
        "authorized_official_first_name": "SHALOM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-564-6560"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; 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.