NPIMap

Organization Active NPI

Cogburn Nursing Home Inc

  • Skilled Nursing Facility
  • Mobile, AL
National Provider Identifier
1962682633
Registry record updated Nov 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
COGBURN NURSING HOME INC
Practice address
148 Tuscaloosa St
Mobile, AL 36607-3408
Phone
(251) 476-4700
NPI assigned
Nov 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2007

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

Authorized official

Name
Mr. Prentiss E Smith
Title
Coo
Phone
(251) 476-4700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

148 Tuscaloosa St
Mobile, AL 36607-3408

Mailing address

148 Tuscaloosa St
Mobile, AL 36607-3408
Phone (251) 476-4700

National Provider Directory

National Provider Directory
Tax ID family
Cogburn Health Center Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

148 Tuscaloosa St
Mobile, AL 36607
Phone (251) 435-1300

NPI Registry JSON

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194566400000",
    "number": "1962682633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 TUSCALOOSA ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073408",
            "telephone_number": "251-476-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 TUSCALOOSA ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073408",
            "telephone_number": "251-476-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COGBURN NURSING HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-09",
        "last_updated": "2007-11-09",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "PRENTISS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "251-476-4700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; 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.