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PHOENIX HEALTHCARE LLC NPI 1366493066


NPI Information

NPI: 1366493066
Provider Name: PHOENIX HEALTHCARE LLC

Doing Business As: TRAYLOR NURSING HOME, INC

Classification: Skilled Nursing Facility - 314000000X
Entity Type: Organization
Address:
1235 YANCEY ST
ROANOKE, AL
ZIP 36274
Phone: (334) 863-3500
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PHOENIX HEALTHCARE LLC is a skilled nursing facility in Roanoke, AL. The provider is (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 services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. PHOENIX HEALTHCARE LLC NPI is 1366493066. The provider is registered as an organization entity type.
The provider Is Doing Business As Traylor Nursing Home, Inc.

The provider's business location address is:

1235 YANCEY ST
ROANOKE, AL
ZIP 36274-141
Phone: (334) 863-3500
Fax: (334) 863-3531

The provider's authorized official is Ronald Traylor .
The authorized official title is Administrator and has the following contact phone number (334) 863-3500.

The enumeration date for this NPI number is 5/15/2006 and was last updated on 12/20/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1314000000XSkilled Nursing Facility10641ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1021561OTHERALABAMABLUE CROSS BLUE SHIELD
2015126MEDICARE OSCAR/CERTIFICATIONALABAMA
31085810001MEDICARE NSCALABAMA
44752240SMEDICAIDALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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