NPIMap

Organization Active NPI

USA Healthcare Cullman LLC

  • Skilled Nursing Facility
  • Cullman, AL
National Provider Identifier
1992701262
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
10505 Issued in AL
Legal business name
USA HEALTHCARE CULLMAN LLC
Practice address
1607 Main Ave NE
Cullman, AL 35055-5920
Phone
(256) 734-8745
Fax
(256) 737-0130
NPI assigned
Jun 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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

Authorized official

Name
Hannah Brown
Title
Office Manager
Phone
(256) 734-8745

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 10505 AL Primary

Addresses

Primary practice location

1607 Main Ave NE
Cullman, AL 35055-5920

Mailing address

1607 Main Ave NE
Cullman, AL 35055-5920
Phone (256) 734-8745

Other identifiers 2

IdentifierTypeStateIssuer
4755030SMedicaidAL
010644OtherALBCBS PROVIDER NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644883200000",
    "number": "1992701262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 MAIN AVE NE",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350555920",
            "telephone_number": "256-734-8745",
            "fax_number": "256-737-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 MAIN AVE NE",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350555920",
            "telephone_number": "256-734-8745",
            "fax_number": "256-737-0130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USA HEALTHCARE CULLMAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "256-734-8745"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AL",
            "license": "10505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4755030S",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "010644",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullman, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; 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.