Shadescrest Health Care Center in Jasper - Skilled Nursing Facility
Shadescrest Health Care Center - NPI 1073500831
Shadescrest Health Care Center is a Skilled Nursing Facility in Jasper, Alabama. Shadescrest Health Care Center practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Shadescrest Health Care Center is 1073500831. The last update date is 2022-01-19.
Shadescrest Health Care Center's current location address is 331 25th St W, Jasper, Alabama. You can contact this provider via phone number 2053849086 and fax number 2053872225. The mailing address for Shadescrest Health Care Center is 331 25th St W, Jasper, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shadescrest Health Care Center |
|---|---|
| Address | 331 25th St W, Jasper, Alabama |
| Phone Number | 2053849086 |
| Fax Number | 2053872225 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Havens B Joe |
| Telephone Number | 2053849086 |
NPI Number Detail
| NPI Number | 1073500831 |
|---|---|
| Provider Enumeration Date | 2005-10-05 |
| Last Updated Date | 2022-01-19 |
Provider Mailing Address Detail
| Address | 331 25th St W |
|---|---|
| City | Jasper |
| State | Alabama (AL) |
| Post Code | 355015828 |
| Phone Number | 2053849086 |
| Fax Number | 2053872225 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 10671 |
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Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4754101S | AL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Shadescrest Health Care Center by the Centers for Medicare & Medicaid Services?
The Shadescrest Health Care Center has been assigned the NPI (National Provider Identifier) 1073500831. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Shadescrest Health Care Center is physically located?
The Shadescrest Health Care Center is situated at the following address: 331 25Th St W, Jasper, AL 355015828.
What is the Shadescrest Health Care Center's specialty and taxonomy code?
The Shadescrest Health Care Center's specialty is Skilled Nursing Facility, and the corresponding taxonomy code is 314000000X.
On what date did the Shadescrest Health Care Center receive its 1073500831 assignment from the Centers for Medicare & Medicaid Services?
The Shadescrest Health Care Center was assigned its 1073500831 by the Centers for Medicare & Medicaid Services on 2005-10-05.
When was the Shadescrest Health Care Center's information last updated?
The Shadescrest Health Care Center's information was last updated on 2022-01-19.
NPI Number: 1417950320
Address: 1395 Center Drive, D7-6a, Box 100416, Gainesville, FL