Organization
PLEASANT GROVE NURSING AND REHABILITATION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NORBERT A BENNETT (CO-CEO)
(716) 662-4955
Entity
Organization
Contact information
Practice address
30 7TH ST, PLEASANT GROVE, AL 35127-1962
(205) 744-8226
(205) 744-8211
Mailing address
30 7TH ST, PLEASANT GROVE, AL 35127-1962
(205) 744-8226
(205) 744-8211
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
12574
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00385
BC BS OF ALAMBAMA
AL
05
—
4757310S
—
AL
01
—
71-00024
MEDICARE COMPLETE
AL
Enumeration date
09/27/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us