Crossville Health Realty, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CROSSVILLE HEALTH REALTY, LLC

Doing business as

Crossville Health & Rehabilitation, LLC

Practice address

8922 Highway 227 North
Crossville, AL 35962

Phone

(256) 528-7844

NPI assigned

Jun 7, 2006

Organization subpart

No

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

Authorized official

Name

Claude E Lee

Title

Cfo

Phone

(205) 391-3600

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Crossville Health & Rehabilitation, LLC Doing business as

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982644951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8922 HIGHWAY 227 NORTH",
            "city": "CROSSVILLE",
            "state": "AL",
            "postal_code": "35962",
            "telephone_number": "256-528-7844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8922 HIGHWAY 227 NORTH",
            "city": "CROSSVILLE",
            "state": "AL",
            "postal_code": "35962",
            "telephone_number": "256-528-7844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSVILLE HEALTH REALTY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "CLAUDE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "205-391-3600"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4754400S",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossville Health & Rehabilitation, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marsha Malena Bearden, RN, IBCLC, RLC
• Jose Yoni Calderon Reyes
• Crossville Chiropractic Health Center
• Crossville Drugs Inc.
• Crossville Health and Rehabilitation LLC
• James Alan Gardner, RPH
• Jessica Lucas Gonzalez, MSN, CRNP, FNP-C
• Harbor Haven LLC
• Healing Mercy Counseling, LLC
• Keesha Hudgins

• Skilled Nursing Facility in Crossville, AL
• Providers in Crossville, AL by specialty
• Skilled Nursing Facility in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.