Provider Demographics
NPI:1568468833
Name:USA HEALTHCARE MORGAN LLC
Entity Type:Organization
Organization Name:USA HEALTHCARE MORGAN LLC
Other - Org Name:DECATUR HEALTH AND REHAB CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:HAYES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-340-5745
Mailing Address - Street 1:PO BOX 1821
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35602-1821
Mailing Address - Country:US
Mailing Address - Phone:256-340-5745
Mailing Address - Fax:256-340-1281
Practice Address - Street 1:2326 MORGAN AVE SW
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35601-6244
Practice Address - Country:US
Practice Address - Phone:256-340-5745
Practice Address - Fax:256-340-1281
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-22
Last Update Date:2022-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL10632314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL4757260SMedicaid
AL010658OtherBCBS PROVIDER NUMBER
AL4757260SMedicaid