Healthcare Provider Details

I. General information

NPI: 1770581654
Provider Name (Legal Business Name): SPRINGHILL NURSING HOMES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2005
Last Update Date: 07/30/2021
Certification Date: 07/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3717 DAUPHIN ST
MOBILE AL
36608-1777
US

IV. Provider business mailing address

3717 DAUPHIN ST
MOBILE AL
36608-1777
US

V. Phone/Fax

Practice location:
  • Phone: 251-343-0909
  • Fax:
Mailing address:
  • Phone: 251-343-0909
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: LANA DAVIS
Title or Position: ADMINISTRATOR
Credential:
Phone: 251-343-0909