Provider Demographics
NPI:1881562098
Name:SOUTHCARE HEALTH AND REHAB OF RED BAY,LLC
Entity type:Organization
Organization Name:SOUTHCARE HEALTH AND REHAB OF RED BAY,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROLE
Authorized Official - Middle Name:S
Authorized Official - Last Name:TOWNSEND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-712-0367
Mailing Address - Street 1:2390 SHORE SIDE LN
Mailing Address - Street 2:
Mailing Address - City:SYLACAUGA
Mailing Address - State:AL
Mailing Address - Zip Code:35151-4705
Mailing Address - Country:US
Mailing Address - Phone:205-540-1851
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:256-356-8400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-28
Last Update Date:2025-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility