Traylor Nursing Home, Inc

LBN: Phoenix Healthcare Llc
Traylor Nursing Home, Inc is an health care organization with primary practice located at 1235 Yancey St , Roanoke AL 36274-2141. 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. Phoenix Healthcare Llc can be contacted via phone (334) 863-3500, or through Traylor, Ronald via phone (334) 863-3500.

Contact Information

Primary practice address
1235 Yancey St Roanoke AL 36274-2141
Phone: (334) 863-3500
Fax: (334) 863-3531
Website:
Map and Directions
Authorized official contact:
Name: Traylor, Ronald
Phone: (334) 863-3500

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 10641 Alabama

Profile Details

NPI number 1366493066
LBN Legal business name Phoenix Healthcare Llc
DBA Doing business as Traylor Nursing Home, Inc
Authorized official Traylor, Ronald
Entity Organization
Organization subpart 1 No
Enumeration date May 15th, 2006
Last updated Dec 20th, 2011 - about 15 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 1366493066 NPPES
Alabama MEDICAID 4752240S
Alabama Other 021561

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