Madison Manor Nursing Home Llc

LBN: Madison Manor Nursing Home Llc
Madison Manor Nursing Home Llc is an health care organization with primary practice located at 3891 Sullivan Street , Madison AL 35758. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. Madison Manor Nursing Home Llc can be contacted via phone (256) 772-9243, or through Dunnam, Noel via phone (251) 743-7137.

Contact Information

Primary practice address
3891 Sullivan Street Madison AL 35758
Phone: (256) 772-9243
Fax: (256) 772-9233
Website:
Map and Directions
Authorized official contact:
Name: Dunnam, Noel
Phone: (251) 743-7137

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 12609 Alabama

Profile Details

NPI number 1033178504
LBN Legal business name Madison Manor Nursing Home Llc
DBA Doing business as
Authorized official Dunnam, Noel
Entity Organization
Organization subpart 1 No
Enumeration date Mar 22nd, 2006
Last updated Mar 6th, 2024 - about 8 months 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 1033178504 NPPES
Alabama MEDICAID 4757500S

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