Shadescrest Health Care Center

LBN: Shadescrest Health Care Center
Shadescrest Health Care Center is an health care organization with primary practice located at 331 25Th St W , Jasper AL 35501-5828. 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. Shadescrest Health Care Center can be contacted via phone (205) 384-9086, or through Havens, Joe B via phone (205) 384-9086.

Contact Information

Primary practice address
331 25Th St W Jasper AL 35501-5828
Phone: (205) 384-9086
Fax: (205) 387-2225
Website:
Map and Directions
Authorized official contact:
Name: Havens, Joe B
Phone: (205) 384-9086

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 10671 Alabama

Profile Details

NPI number 1073500831
LBN Legal business name Shadescrest Health Care Center
DBA Doing business as
Authorized official Havens, Joe B
Entity Organization
Organization subpart 1 No
Enumeration date Oct 5th, 2005
Last updated Jan 19th, 2022 - about 3 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 1073500831 NPPES
Alabama MEDICAID 4754101S

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