NPIMap

Organization Active NPI

Florence Nursing and Rehabilitation Center, LLC

  • Skilled Nursing Facility
  • Florence, AL
National Provider Identifier
1972676104
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
12593 Issued in AL
Legal business name
FLORENCE NURSING AND REHABILITATION CENTER, LLC
Practice address
2107 Cloyd Blvd
Florence, AL 35630-1503
Phone
(256) 766-5771
Fax
(256) 766-8135
NPI assigned
Nov 16, 2006
Last updated
Dec 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

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

Authorized official

Name
Mr. Norbert A Bennett
Title
Co-Chief Executive Officer
Phone
(716) 662-4955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 12593 AL Primary

Addresses

Primary practice location

2107 Cloyd Blvd
Florence, AL 35630-1503

Mailing address

PO Box 428
Orchard Park, NY 14127-0428
Phone (716) 662-4955

Other identifiers 3

IdentifierTypeStateIssuer
4757540SMedicaidAL
00387OtherALBC BS OF ALABAMA
71-00015OtherALMEDICARE COMPLETE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL ENDPOINT Other The White Stone Group d/b/a Vyne Medical

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030618000017 AL Part A Provider - Skilled Nursing Facility 2961312053 Practice locations: Florence, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972676104. Details of each certification follow.

Skilled nursing facility certification: CCN 015169

Legal name
FLORENCE NURSING AND REHABILITATION CENTER LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 1, 1977
Last certification
Jan 14, 2020
Beds
147
Ownership / control type
Individual
Most recent change of ownership
Jul 1, 2003
Organization structure
LLCProprietary
Incorporated
May 6, 2003 in AL
Enrollment address
2107 Cloyd Blvd
Florence, AL 35630-1503

Care Compare: Nursing home

Medicare Care Compare
Listed as
Florence Nursing and Rehabilitation Ctr, LLCCCN 015169 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
May 1, 1977
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
147137.6 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

2107 Cloyd Blvd
Florence, AL 35630
Phone (256) 766-5771

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Donald T Denz Irrv TR Organization, Buffalo, NY 5% Or Greater Indirect Ownership Interest May 23, 2008 6%
Norbert a Bennett Individual 5% Or Greater Indirect Ownership Interest Jun 30, 2003 32.45%
Donald T Denz Individual 5% Or Greater Indirect Ownership Interest Jun 30, 2003 44%
Norbert a Bennett Irrv TR Fbo Grandchildren Organization, Holland, NY 5% Or Greater Indirect Ownership Interest May 23, 2008 17.55%
Linda K Graves Individual W-2 Managing EmployeeExecutive Director Apr 3, 2020 100%
Norbert a Bennett Irrv TR Fbo Children Organization, Holland, NY 5% Or Greater Indirect Ownership Interest May 23, 2008 17.55%
Renee Klawon Individual OtherIndependent Contractor Aug 14, 2020
D&N, LLC Organization, Orchard Park, NY Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Jun 30, 2003 50%
DTD HC LLC Organization, Orchard Park, NY Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Jun 30, 2003 50%

Facilities with the same owner 30

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

View all 30

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 2

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": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701993600000",
    "number": "1972676104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 428",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141270428",
            "telephone_number": "716-662-4955",
            "fax_number": "716-667-9230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107 CLOYD BLVD",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356301503",
            "telephone_number": "256-766-5771",
            "fax_number": "256-766-8135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORENCE NURSING AND REHABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "NORBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CO-CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "716-662-4955",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AL",
            "license": "12593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4757540S",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF ALABAMA",
            "identifier": "00387",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE COMPLETE",
            "identifier": "71-00015",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ENDPOINT",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.17.8788.1",
            "affiliationName": "The White Stone Group d/b/a Vyne Medical",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 Ashford Ctr N Ste 300",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303384863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

Verify at the official NPI Registry.