Active NPI
Caregivers of Pleasant Grove Inc
- Skilled Nursing Facility
- Pleasant Grove, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 10545
- Legal business name
- CAREGIVERS OF PLEASANT GROVE INC
- Practice address
- 700 1St Ave
Pleasant Grove, AL 35127-1915 - Phone
- (205) 744-8120
- Fax
- (205) 744-8285
- NPI assigned
- Jul 13, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Lisa A Beckmann
- Title
- Corporate Accounts Manager
- Phone
- (205) 486-2558
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 10545 | AL | Primary |
Addresses
Primary practice location
700 1St Ave
Pleasant Grove, AL 35127-1915
Mailing address
41899 Highway 195
Haleyville, AL 35565-7056
Phone (205) 486-2558
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4757280S | Medicaid | AL |
Other names 1
- Consult America Cottage Hills Inc
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070921000742 | AL | Part A Provider - Skilled Nursing Facility | 9830283779 | Practice locations: Pleasant Grove, AL |
Skilled nursing facility certification: CCN 015044
- Legal name
- CAREGIVERS OF PLEASANT GROVE INC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 13, 1967
- Last certification
- Mar 11, 2021
- Beds
- 64
- Ownership / control type
- Corporation
- Organization structure
- Corporation
- Incorporated
- Aug 17, 1994 in AL
- Enrollment address
- 700 1St Ave
Pleasant Grove, AL 35127-1915 - Nursing home name
- CAREGIVERS OF PLEASANT GROVE, INC
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Caregivers of Pleasant Grove, Inc
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jan 13, 1967
- Medicare certification status
- Active
- Certified beds
- 64
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D0893277 | Caregivers of Pleasant Grove | Certificate of waiver | Feb 10, 2028 |
National Provider Directory
National Provider DirectoryLocations
41899 Highway 195
Haleyville, AL 35565
Ownership & related parties
All disclosed owners & managing parties 5
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Susan Potts | Corporate Director | Jul 1, 2023 | 100% |
| Martina Shoemake | Operational/Managerial Control | Nov 20, 2023 | |
| Adp of the SNF | Jan 27, 2025 | ||
| Michael a Rosemore | Managing Control - Governing Body | Jul 1, 2025 | |
| Adp of the SNF | Jul 9, 2025 | ||
| Clyde Church | 5% Or Greater Direct Ownership Interest | Jul 1, 2010 | 50% |
| Corporate Director | Jul 1, 2010 | ||
| Alicia Church | 5% Or Greater Direct Ownership Interest | Jul 1, 2023 | 50% |
| Direct Ownership Interest | Jul 1, 2023 | 50% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Physical Medicine & Rehabilitation Physician
- Hueytown, AL
- NPI 1104849843
Adp of the SNF, Managing Control - Governing Body
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Bessemer, AL
- NPI 1013141951
-
- Family Medicine Physician
- Haleyville, AL
- NPI 1619908571
-
- Physical Medicine & Rehabilitation Physician
- Hueytown, AL
- NPI 1104849843
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Physical Medicine & Rehabilitation Physician
- Hueytown, AL
- NPI 1104849843
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121212800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1296432000000",
"number": "1902804883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41899 HIGHWAY 195",
"city": "HALEYVILLE",
"state": "AL",
"postal_code": "355657056",
"telephone_number": "205-486-2558",
"fax_number": "888-258-0375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 1ST AVE",
"city": "PLEASANT GROVE",
"state": "AL",
"postal_code": "351271915",
"telephone_number": "205-744-8120",
"fax_number": "205-744-8285"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAREGIVERS OF PLEASANT GROVE INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-13",
"last_updated": "2011-01-31",
"status": "A",
"authorized_official_last_name": "BECKMANN",
"authorized_official_first_name": "LISA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CORPORATE ACCOUNTS MANAGER",
"authorized_official_telephone_number": "205-486-2558",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "AL",
"license": "10545",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4757280S",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Consult America Cottage Hills Inc",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Pleasant Grove, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.