Provider Demographics
NPI:1306736244
Name:CAVALIER HEALTHCARE OF RED BAY LLC
Entity type:Organization
Organization Name:CAVALIER HEALTHCARE OF RED BAY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:BRIEN
Authorized Official - Middle Name:B
Authorized Official - Last Name:HUBBARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-503-6310
Mailing Address - Street 1:106 10TH AVE NW
Mailing Address - Street 2:
Mailing Address - City:RED BAY
Mailing Address - State:AL
Mailing Address - Zip Code:35582-3800
Mailing Address - Country:US
Mailing Address - Phone:256-356-4982
Mailing Address - Fax:
Practice Address - Street 1:106 10TH AVE NW
Practice Address - Street 2:
Practice Address - City:RED BAY
Practice Address - State:AL
Practice Address - Zip Code:35582-3800
Practice Address - Country:US
Practice Address - Phone:256-356-4982
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-03
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility