NPIMap

Organization Active NPI

Greene County Hospital & Nursing Home

Doing business as Greene County Residential Care Center

  • Skilled Nursing Facility
  • Eutaw, AL
National Provider Identifier
1942301569
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
GREENE COUNTY HOSPITAL & NURSING HOME
Doing business as
Greene County Residential Care Center
Practice address
509 Wilson Ave
Eutaw, AL 35462-1064
Phone
(205) 372-4545
Fax
(205) 372-5061
NPI assigned
Sep 26, 2006
Last updated
Feb 15, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
GREENE COUNTY HOSPITAL & NURSING HOMEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Authorized official

Name
Ms. Marcia Pugh, DNP, RN
Title
Administrator
Phone
(205) 372-3388

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

509 Wilson Ave
Eutaw, AL 35462-1064

Mailing address

509 Wilson Ave
Eutaw, AL 35462-1064
Phone (205) 372-4545

Other identifiers 2

IdentifierTypeStateIssuer
4753110SMedicaidAL
010532OtherALBCBS

Other names 1

  • Greene County Residential Care Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100319000733 AL Part A Provider - Skilled Nursing Facility 7416948880 Practice locations: Eutaw, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1942301569. Details of each certification follow.

Skilled nursing facility certification: CCN 015178

Legal name
GREENE COUNTY HOSPITAL & NURSING HOME
Doing business as
GREENE COUNTY HEALTH SYSTEM
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 1, 1977
Last certification
Feb 25, 2022
Beds
72
Ownership / control type
Corporation
Organization structure
OtherProprietary
Incorporated
Jan 1, 1990 in AL
Enrollment address
509 Wilson Ave
Eutaw, AL 35462-1064
Nursing home name
GREENE COUNTY NURSING HOME

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Greene County Nursing HomeCCN 015178 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jul 1, 1977
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7238.1 residents per day on average
Penalties (3 years)
1Fines totaling $13,635

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
01D0301897Greene County Health System509 Wilson Avenue, Eutaw, AL 35462ComplianceJul 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Greene County Physician3 organizations share this tax ID, including this one
Part of
Greene County Physician

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Marcia Pugh Individual Corporate Officer Dec 4, 2017
W-2 Managing Employee Dec 4, 2017
Cynthia Walker Individual Other Mar 26, 2019
Greene County Hospital & Nursing Home Organization, Eutaw, AL Operational/Managerial Control Feb 8, 2010

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Greene County Hospital & Nursing HomeEutaw, AL, CCN 010051 Hospital Operational/Managerial Control Oct 1, 2013

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1942301569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 WILSON AVE",
            "city": "EUTAW",
            "state": "AL",
            "postal_code": "354621064",
            "telephone_number": "205-372-4545",
            "fax_number": "205-372-5061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 WILSON AVE",
            "city": "EUTAW",
            "state": "AL",
            "postal_code": "354621064",
            "telephone_number": "205-372-4545",
            "fax_number": "205-372-5061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENE COUNTY HOSPITAL & NURSING HOME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GREENE COUNTY HOSPITAL & NURSING HOME",
        "enumeration_date": "2006-09-26",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "PUGH",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "205-372-3388",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DNP, RN"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4753110S",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "010532",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greene County Residential Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Greene County Residential Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eutaw, AL

Sources for this page

Verify at the official NPI Registry.