Shelby Ridge Nursing Home

LBN: Shelby Ridge Acquisition Corporation
Shelby Ridge Nursing Home is an health care organization with primary practice located at 881 3Rd St Ne , Alabaster AL 35007-8954. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Skilled Nursing Facility, Suppliers / Durable Medical Equipment & Medical Supplies. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Shelby Ridge Acquisition Corporation can be contacted via phone (205) 620-8500, or through Stephenson, Tammy Mock via phone (334) 273-9002.

Contact Information

Primary practice address
881 3Rd St Ne Alabaster AL 35007-8954
Phone: (205) 620-8500
Fax: (205) 620-8553
Website:
Map and Directions
Authorized official contact:
Name: Stephenson, Tammy Mock
Phone: (334) 273-9002

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 12676 Alabama
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1710938998
LBN Legal business name Shelby Ridge Acquisition Corporation
DBA Doing business as Shelby Ridge Nursing Home
Authorized official Stephenson, Tammy Mock
Entity Organization
Organization subpart 1 No
Enumeration date May 13th, 2006
Last updated Jan 11th, 2012 - about 12 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 1710938998 NPPES
Alabama MEDICAID 009936913
Alabama MEDICAID 47-58040S

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