Provider Demographics
NPI:1760479984
Name:CARE CENTER OF OPELIKA, INC.
Entity Type:Organization
Organization Name:CARE CENTER OF OPELIKA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF QUALITY ASSURANCE
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:SNUGGS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:334-365-3679
Mailing Address - Street 1:1908 1/2 PEPPERELL PKWY
Mailing Address - Street 2:
Mailing Address - City:OPELIKA
Mailing Address - State:AL
Mailing Address - Zip Code:36801-5440
Mailing Address - Country:US
Mailing Address - Phone:334-749-1471
Mailing Address - Fax:334-749-6016
Practice Address - Street 1:1908 1/2 PEPPERELL PKWY
Practice Address - Street 2:
Practice Address - City:OPELIKA
Practice Address - State:AL
Practice Address - Zip Code:36801-5440
Practice Address - Country:US
Practice Address - Phone:334-749-1471
Practice Address - Fax:334-749-1828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL10990314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL47-55900SMedicaid
AL01-5192Medicare ID - Type UnspecifiedPROVIDER NUMBER