Athens Nursing Home

LBN: Athens Convalescent Center
Athens Nursing Home is an health care organization with primary practice located at 611 W Market St , Athens AL 35611-2460. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Skilled Nursing Facility, Suppliers / Parenteral & Enteral Nutrition. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Athens Convalescent Center can be contacted via phone (256) 232-1620, or through Wallace, John via phone (256) 232-1620.

Contact Information

Primary practice address
611 W Market St Athens AL 35611-2460
Phone: (256) 232-1620
Fax: (256) 232-2017
Website:
Map and Directions
Authorized official contact:
Name: Wallace, John
Phone: (256) 232-1620

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 54038 Alabama
Suppliers / Parenteral & Enteral Nutrition 332BP3500X N4201 Alabama

Profile Details

NPI number 1386631521
LBN Legal business name Athens Convalescent Center
DBA Doing business as Athens Nursing Home
Authorized official Wallace, John
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2005
Last updated Oct 14th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386631521 NPPES
Alabama Other 015016 MEDICARE PART A PROVIDER
Alabama MEDICAID 4757080S MEDICARE PART A PROVIDER

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