MEDICARE: CROWNE HEALTH CARE OF SPRINGHILL,LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility	N4903	AL

General Provider Information

NPI Number	:	1396068557
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CROWNE HEALTH CARE OF SPRINGHILL,LLC

Provider Business Mailing Address
First Line	:	501 WHETSTONE ST
Second Line	:
City	:	MONROEVILLE
State	:	AL
Zip	:	36460-2615
Country	:	US
Telephone Number	:	251-743-3609
Fax Number	:	251-575-5618

Provider Business Practice Location Address
First Line	:	3712 DAUPHIN ST
Second Line	:
City	:	MOBILE
State	:	AL
Zip	:	36608-1725
Country	:	US
Telephone Number	:	251-304-3000
Fax Number	:	251-304-3047

Authorized Official
Title or Position	:	CFO
Name	:	MRS. NOEL DUNNAM
Credential	:
Telephone Number	:	251-743-7137

Provider Enumeration Date	:	03/02/2010
Last Update Date	:	03/06/2024

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