MEDICARE: PRATTVILLE HEALTH AND REHABILITATION 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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	012443	OTHER	AL	BCBS ID

General Provider Information

NPI Number	:	1508813163
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRATTVILLE HEALTH AND REHABILITATION LLC

Provider Business Mailing Address
First Line	:	601 JASMINE TRL
Second Line	:
City	:	PRATTVILLE
State	:	AL
Zip	:	36066-3661
Country	:	US
Telephone Number	:	334-365-2241
Fax Number	:

Provider Business Practice Location Address
First Line	:	601 JASMINE TRL
Second Line	:
City	:	PRATTVILLE
State	:	AL
Zip	:	36066-3661
Country	:	US
Telephone Number	:	334-365-2241
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	PHILLIP CODY LONG
Credential	:
Telephone Number	:	205-391-3600

Provider Enumeration Date	:	05/28/2006
Last Update Date	:	10/28/2020

Similar Medicare Providers

1487657912 — DR. GEORGE NICHOLAS EISCHENS O.D.
Practice Location Address:

605 JASMINE TRL
PRATTVILLE, AL
36066-3661

Practice Phone: 334-365-2020
Practice Fax: 334-365-4845

1295875078 — DR. BARRY J. MCNAMARA O.D.
Practice Location Address:

605 JASMINE TRL
PRATTVILLE, AL
36066-3661

Practice Phone: 334-365-2020
Practice Fax: 334-365-4845

1457524597 — BARRY J MCNAMARA OD PC
Practice Location Address:

605 JASMINE TRL
PRATTVILLE, AL
36066-3661

Practice Phone: 334-365-2020
Practice Fax: 334-365-4845

1891955639 — MR. JAMES E CROCKETT O.D.
Practice Location Address:

605 JASMINE TRL
PRATTVILLE, AL
36066-3661

Practice Phone: 334-365-2020
Practice Fax: 334-365-4845

1972054344 — FRANSHUN STEELE CRNP
Practice Location Address:

601 JASMINE TRL
PRATTVILLE, AL
36066-3661

Practice Phone: 334-365-2241
Practice Fax:

1427819796 — YINGYING CHEN MD PC
Practice Location Address:

601 JASMINE TRL
PRATTVILLE, AL
36066-3661

Practice Phone: 334-365-2241
Practice Fax:

Directions to “PRATTVILLE HEALTH AND REHABILITATION LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.