BKD ALABAMA SNF LLC (NPI# 1366700528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366700528 |
| Entity Type | Organization |
| Organization Name | BKD ALABAMA SNF LLC |
| Other Organization Name | BROOKDALE UNIVERSITY PARK SNF (AL) |
| Practice Address |
501 University Park Drive Birmingham AL 35209-6738 |
| Mailing Address |
111 Westwood Pl Suite 400 Brentwood TN 37027-5021 |
| Practice Telephone | 2059331828 |
| Practice Fax Number | 2059330900 |
| Mailing Telephone | 6152212250 |
| Mailing Fax Number | 6152212280 |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2015-06-30 |
| Authorized Official Name | MARK W. OHLENDORF (PRESIDENT) |
| Authorized Official Telephone | 4149185000 |
| Is Organization Subpart | Y |
| Parent Organization Name | BROOKDALE SENIOR LIVING INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 8364 | AL | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Brookdale University Park SNF (AL) | Doing Business As Name - Organization |
| Street Address |
501 UNIVERSITY PARK DRIVE |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35209-6738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437793510 | Marissa M Mcintyre | Registered Nurse | 3401 Independence Drive, Suite 221, Birmingham, AL 35209 | 2019-11-01 |
| 1093284457 | Patriot Healthcare of Alabama, LLC | Family Medicine | 2045 Brookwood Medical Center Drive, Suite 1, Birmingham, AL 35209 | 2018-11-15 |
| 1164902268 | Lucy Johnston | Physician Assistant | 1602 Woodfern Dr, Homewood, AL 35209 | 2018-08-17 |
| 1881184646 | Wade Louis Grady | Specialist/Technologist | 800 Larkshore Drive, Birmingham, AL 35209 | 2018-05-16 |
| 1154823029 | Taylor Payne | Physical Medicine & Rehabilitation | 109 Devon Dr, Birmingham, AL 35209 | 2018-03-06 |
| 1396251542 | 1st America Infusion Services LLC | Durable Medical Equipment & Medical Supplies | 120 Oxmoor Blvd Ste 100, Birmingham, AL 35209 | 2017-12-26 |
| 1376060954 | Hannah Holloway | Specialist/Technologist | 725 Crest Lane, Birmingham, AL 35209 | 2017-08-24 |
| 1558887463 | Paul A Rhodes | Nurse Practitioner | 631 Beacon Center Office Park, Suite 108, Birmingham, AL 35209 | 2017-08-22 |
| 1538542196 | Proteus Molecular and Clinical Lab LLC | Clinical Medical Laboratory | 218 Summit Pkwy, Suite 250, Homewood, AL 35209 | 2015-07-01 |
| 1124407739 | Randall Alban | Nurse Practitioner | 2100 Southbridge Parkway, Suite 650, Birmingham, AL 35209 | 2015-05-28 |
| Find all providers in zip 35209 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124574843 | Hair To Go | Skilled Nursing Facility | 4097 Somerset Ridge, Birmingham, AL 35242 | 2016-09-01 |
| 1497934533 | Birmingham Healthcare LLC | Skilled Nursing Facility | 2728 10th Ave S, Birmingham, AL 35205-1202 | 2007-10-25 |
| 1033230966 | Ssc Birmingham Operating Company LLC | Skilled Nursing Facility | 1028 Bessemer Rd, Birmingham, AL 35228-1103 | 2007-04-02 |
| 1366594939 | Hcc-healthcare of Birmingham LLC | Skilled Nursing Facility | 39 Hanover Cir S, Birmingham, AL 35205-1703 | 2007-01-17 |
| 1508939745 | Birmingham Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 1000 Dugan Ave, Birmingham, AL 35214-4326 | 2006-11-16 |
| 1528177615 | Methodist Home for The Aging | Skilled Nursing Facility | 1424 Montclair Rd, Birmingham, AL 35210-2208 | 2006-08-30 |
| 1922111517 | Birmingham Nursing and Rehabilitation Center East,llc | Skilled Nursing Facility | 733 Mary Vann Ln, Birmingham, AL 35215-5046 | 2006-08-16 |
| 1982633632 | Ccrc Opco - Galleria Woods, LLC | Skilled Nursing Facility | 3850 Galleria Woods Dr, Birmingham, AL 35244-1098 | 2006-07-02 |
| 1275569873 | Ball Healthcare Eastview Inc | Skilled Nursing Facility | 7755 4th Ave S, Birmingham, AL 35206-4425 | 2006-06-24 |
| 1891730438 | Ball Healthcare Jefferson Inc | Skilled Nursing Facility | 1250 Jeff Germany Pkwy, Birmingham, AL 35214-4484 | 2006-06-18 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35209 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.