Providence Park Rehabilitation Healthcare Center LLC
NPI 1568367761ActiveOrganization· Skilled Nursing Facility· Mobile, AL
Skilled Nursing Facility in Mobile, Alabama, registered in NPPES in October 2026. The authorized official on file is Clarence Ball, Ceo.
Overview
| NPI | 1568367761 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 9, 2026 |
| Last updated in NPPES | Oct 9, 2026 |
| Certified by provider | Oct 7, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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