NPIMap

Organization Active NPI

Jefferson County Commission

Doing business as Jefferson Rehab. & Health Ctr.

  • Skilled Nursing Facility
  • Birmingham, AL
National Provider Identifier
1003806092
Registry record updated Oct 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
11181 Issued in AL
Legal business name
JEFFERSON COUNTY COMMISSION
Doing business as
Jefferson Rehab. & Health Ctr.
Practice address
200 N Pine Hill Rd
Birmingham, AL 35217-1215
Phone
(205) 849-2352
Fax
(205) 849-2371
NPI assigned
Oct 21, 2005
Last updated
Oct 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2008

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

Authorized official

Name
Mr. Derrick Williams, LNHA
Title
Director
Phone
(205) 849-2352

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 11181 AL Primary
Nursing Facility Supplies (DME) 332BN1400X

Addresses

Primary practice location

200 N Pine Hill Rd
Birmingham, AL 35217-1215

Mailing address

200 N Pine Hill Rd
Birmingham, AL 35217-1215
Phone (205) 849-2352

Other identifiers 4

IdentifierTypeStateIssuer
63 6002579OtherALHM BENEFITS ADMINISTRATORS, INC. (USA CORP.)
010-517OtherALBLUE CROSS BLUE SHIELD
4753490SMedicaidAL
71-10036OtherALUNITED HEALTHCARE

Other names 1

  • JEFFERSON REHAB. & HEALTH CTR. Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224201600000",
    "number": "1003806092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N PINE HILL RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352171215",
            "telephone_number": "205-849-2352",
            "fax_number": "205-849-2371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N PINE HILL RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352171215",
            "telephone_number": "205-849-2352",
            "fax_number": "205-849-2371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON COUNTY COMMISSION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-21",
        "last_updated": "2008-10-17",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "205-849-2352",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AL",
            "license": "11181",
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HM BENEFITS ADMINISTRATORS, INC. (USA CORP.)",
            "identifier": "63 6002579",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "010-517",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4753490S",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "71-10036",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JEFFERSON REHAB. & HEALTH CTR.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.