Provider Demographics
NPI:1396068557
Name:CROWNE HEALTH CARE OF SPRINGHILL,LLC
Entity type:Organization
Organization Name:CROWNE HEALTH CARE OF SPRINGHILL,LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MRS
Authorized Official - First Name:NOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNNAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-743-7137
Mailing Address - Street 1:501 WHETSTONE ST
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36460-2615
Mailing Address - Country:US
Mailing Address - Phone:251-743-3609
Mailing Address - Fax:251-575-5618
Practice Address - Street 1:3712 DAUPHIN ST
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608-1725
Practice Address - Country:US
Practice Address - Phone:251-304-3000
Practice Address - Fax:251-304-3047
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-02
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALN4903314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL01-5426Medicare PIN