Healthcare Provider Details

I. General information

NPI: 1598214272
Provider Name (Legal Business Name): ANNISTON HEALTH AND REHAB SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2016
Last Update Date: 10/29/2024
Certification Date: 10/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 E 8TH ST
ANNISTON AL
36207-5822
US

IV. Provider business mailing address

600 CORPORATE PARKWAY SUITE 100
BIRMINGHAM AL
35242-5451
US

V. Phone/Fax

Practice location:
  • Phone: 256-236-4949
  • Fax:
Mailing address:
  • Phone: 205-783-8440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberN0801
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code3140N1450X
TaxonomyPediatric Skilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: BARBARA ESTEP
Title or Position: PRESIDENT/CEO
Credential:
Phone: 205-783-8444