Generations Of Red Bay, Llc

LBN: Generations Of Red Bay, Llc
Generations Of Red Bay, Llc is an health care organization with primary practice located at 106 10Th Ave Nw , Red Bay AL 35582-3800. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Generations Of Red Bay, Llc can be contacted via phone (256) 356-4982, or through Melton, John Eric via phone (205) 545-8444.

Contact Information

Primary practice address
106 10Th Ave Nw Red Bay AL 35582-3800
Fax: (256) 356-8400
Website:
Authorized official contact:
Name: Melton, John Eric

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 10989 Alabama

Profile Details

NPI number 1619964970
LBN Legal business name Generations Of Red Bay, Llc
DBA Doing business as
Authorized official Melton, John Eric
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2005
Last updated Aug 5th, 2010 - about 14 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 1619964970 NPPES
Alabama Other 10989 STATE LICENSE NUMBER
Alabama MEDICAID 4754080S STATE LICENSE NUMBER

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