Aletheia House, Inc.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

ALETHEIA HOUSE, INC.

Doing business as

Bessemer Neighborhood Health Center

Practice address

2201 Arlington Ave
Bessemer, AL 35020-4221

Phone

(205) 324-6502

NPI assigned

Apr 12, 2016

Last updated

Feb 23, 2017By the provider in NPPES

Organization subpart

Yes

Parent organization

ALETHEIA HOUSEAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Christopher W Retan

Title

Executive Director

Phone

(205) 324-6502

Specialties & licenses 4

Addresses

Other names 1

• Bessemer Neighborhood Health Center Doing business as

Medicare fee-for-service enrollment

Enrolled in AL2 enrollments

Enrollment records 2

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003270430. Details of each certification follow.

• CCN 011032 Federally qualified health center · Active · Details

Federally qualified health center certification: CCN 011032

Legal name

ALETHEIA HOUSE, INC.

Doing business as

BESSEMER NEIGHBORHOOD HEALTH CENTER

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Mar 31, 2017

Last certification

Mar 31, 2017

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Sep 5, 1972 in AL

Enrollment address

2201 Arlington Ave
Bessemer, AL 35020-4221

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Aletheia House2 organizations share this tax ID, including this one

Part of

Aletheia House

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Aletheia House

  • Substance Abuse Rehabilitation Facility
  • Birmingham, AL
  • NPI 1922146810
  NPD tax ID

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15655/brand/1/csg/1/fhir/r4

All disclosed owners & managing parties 22

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Max Michael III, M.D.

  • Internal Medicine Physician
  • Birmingham, AL
  • NPI 1043255425

  Corporate Director

  CMS ownership

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Aletheia House

  • Substance Abuse Rehabilitation Facility
  • Birmingham, AL
  • NPI 1922146810
  NPPES parent name

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Norman Huggins

  • Psychiatry Physician
  • Birmingham, AL
  • NPI 1285666099
  Medicare reassignment Care Compare group NPD
• Max Michael III, M.D.

  • Internal Medicine Physician
  • Birmingham, AL
  • NPI 1043255425
  Medicare reassignment Care Compare group NPD
• Danisha Opoku, FNP-C

  • Family Nurse Practitioner
  • Bessemer, AL
  • NPI 1841725678
  Medicare reassignment Care Compare group NPD
• Lakisha C. Knight, CRNP , RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Bessemer, AL
  • NPI 1588183297
  Medicare reassignment NPD
• Katie Fortenberry Miller

  • Adult Health Nurse Practitioner
  • Birmingham, AL
  • NPI 1265908313

  Family

  Medicare reassignment NPD
• Andrew Marc Friede, MD, MPH

  • Addiction Medicine (Preventive Medicine) Physician
  • Portland, OR
  • NPI 1063979060

  AL

  Medicare reassignment NPD
• Jordain Elaine Boland, MS, QMHP

  • Mental Health Counselor
  • Oregon City, OR
  • NPI 1952683146
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487808000000",
    "number": "1003270430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1514",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352011514",
            "telephone_number": "205-324-6502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 ARLINGTON AVE",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350204221",
            "telephone_number": "205-324-6502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALETHEIA HOUSE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALETHEIA HOUSE",
        "enumeration_date": "2016-04-12",
        "last_updated": "2017-02-23",
        "status": "A",
        "authorized_official_last_name": "RETAN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "205-324-6502",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bessemer Neighborhood Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Nurse Practitioner in Bessemer, AL
• Providers in Bessemer, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.