Organization Active NPI

Caregivers of Pleasant Grove Inc

  • Skilled Nursing Facility
  • Pleasant Grove, AL
National Provider Identifier
1902804883
Registry record updated Jan 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
10545 Issued in AL
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

Updated by the provider on Jan 31, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4757280SMedicaidAL

Other names 1

  • Consult America Cottage Hills Inc Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
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, IncCCN 015044
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 13, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6453.2 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D0893277Caregivers of Pleasant Grove700 First Avenue, Pleasant Grove, AL 35127Certificate of waiverFeb 10, 2028

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Susan Potts Individual Corporate DirectorDirector of Operations Jul 1, 2023 100%
Martina Shoemake Individual Operational/Managerial Control Nov 20, 2023
Adp of the SNF Jan 27, 2025
Michael a Rosemore Individual Managing Control - Governing BodyMedical Director Jul 1, 2025
Adp of the SNF Jul 9, 2025
Clyde Church Individual 5% Or Greater Direct Ownership Interest Jul 1, 2010 50%
Corporate Director Jul 1, 2010
Alicia Church Individual 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.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "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

Verify at the official NPI Registry.