Active NPI
Affinity Hospital LLC
- Psychiatric Hospital Unit
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital Unit
- License
- 11822
- Legal business name
- AFFINITY HOSPITAL LLC
- Practice address
- 3690 Grandview Pkwy
Birmingham, AL 35243-3326 - Phone
- (205) 971-1000
- Fax
- (205) 971-5653
- NPI assigned
- May 18, 2006
- Organization subpart
- Yes
- Parent organization
- AFFINITY HOSPITAL LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paula M Lalor
- Title
- Director/Delegated Official
- Phone
- (629) 215-3953
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital Unit | 273R00000X | 11822 | AL | Primary |
Addresses
Primary practice location
3690 Grandview Pkwy
Birmingham, AL 35243-3326
Mailing address
3690 Grandview Pkwy
Birmingham, AL 35243-3326
Phone (205) 971-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HOS0104H | Medicaid | AL |
Other names 1
- Grandview Medical Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071121000163 | AL | Part A Provider - Hospital | 5395765531 | Practice locations: Birmingham, AL |
Hospital certification: CCN 01S104
- Legal name
- AFFINITY HOSPITAL LLC
- Doing business as
- GRANDVIEW MEDICAL CENTER
- Organization structure
- LLC
- Incorporated
- Aug 30, 2005 in DE
- Enrollment address
- 3690 Grandview Pkwy
Birmingham, AL 35243-3326 - Hospital subgroups
- Swing-bed approved
Related certifications (CCN) 1
Facilities connected through Provider of Services related, parent or unit certification numbers.
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Affinity Hospital LLC
- Part of
- Affinity Hospital LLC
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Acute Care Hospital
- Birmingham, AL
- NPI 1023061405
-
- Durable Medical Equipment & Medical Supplies
- Birmingham, AL
- NPI 1326085952
-
- Rehabilitation Hospital Unit
- Birmingham, AL
- NPI 1720001019
-
- Clinical Medical Laboratory
- Birmingham, AL
- NPI 1760685523
-
- Nutrition Education Nutritionist
- Birmingham, AL
- NPI 1851582613
Member organizations 3
Organizations listed as members of this organization in the National Provider Directory.
-
- Ambulatory Surgical Clinic/Center
- Birmingham, AL
- NPI 1225698681
Member Of
-
- Ambulatory Surgical Clinic/Center
- Vestavia Hills, AL
- NPI 1669031886
Member Of
Ownership & related parties
All disclosed owners & managing parties 17
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Kevin J Hammons | Corporate Officer | Mar 1, 2022 | |
| Corporate Director | Mar 1, 2022 | ||
| Nathaniel K Summar | Corporate Director | Jul 14, 2017 | |
| Justin D Pitt | Corporate Officer | Mar 1, 2022 | |
| Corporate Director | Mar 1, 2022 | ||
| William Bradley Cash | Corporate Officer | Jun 11, 2018 | |
| Hma-Tri Holdings LLC | 5% Or Greater Indirect Ownership Interest | Dec 31, 2015 | 100% |
| Community Health Systems Inc | 5% Or Greater Indirect Ownership Interest | Jul 25, 2007 | 100% |
| Birmingham Holdings LLC | 5% Or Greater Indirect Ownership Interest | Oct 1, 2005 | 100% |
| Triad Healthcare Corporation | 5% Or Greater Indirect Ownership Interest | Dec 31, 2015 | 100% |
| Jason Kevin Johnson | Corporate Officer | Jan 6, 2020 | |
| Roman Gabriel Ottinger | Corporate Officer | Jan 6, 2020 | |
| Paula M Lalor | Corporate Director | Apr 1, 2017 | |
| Tennyson Holdings LLC | 5% Or Greater Indirect Ownership Interest | Dec 31, 2007 | 100% |
| Edna S Buffington-Price | Corporate Director | Mar 1, 2022 | |
| Daniel E McKinney | W-2 Managing Employee | Dec 28, 2020 | |
| Affinity Health Systems, LLC | 5% Or Greater Direct Ownership Interest | Oct 1, 2005 | 99% |
| Christopher G Cobb | Corporate Officer | Apr 1, 2017 | |
| CHS Community Health Systems Inc | 5% Or Greater Indirect Ownership Interest | Jul 25, 2007 | 100% |
Facilities with the same owner 120
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- General Acute Care Hospital
- Birmingham, AL
- NPI 1023061405
Affinity Health Systems, LLC, Birmingham Holdings LLC, CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC
-
- Rehabilitation Hospital Unit
- Birmingham, AL
- NPI 1720001019
Affinity Health Systems, LLC, Birmingham Holdings LLC, CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC
-
- General Acute Care Hospital
- Huntsville, AL
- NPI 1023061496
CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC
-
- General Acute Care Hospital
- Foley, AL
- NPI 1053382655
CHS Community Health Systems Inc, Community Health Systems Inc
-
- Medicare Defined Swing Bed Hospital Unit
- Foley, AL
- NPI 1588635973
CHS Community Health Systems Inc, Community Health Systems Inc
-
- General Acute Care Hospital
- Gadsden, AL
- NPI 1225081516
CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC
-
- Psychiatric Hospital Unit
- Gadsden, AL
- NPI 1255355020
CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC
-
- Medicare Defined Swing Bed Hospital Unit
- Enterprise, AL
- NPI 1083157275
CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC
-
- General Acute Care Hospital
- Enterprise, AL
- NPI 1720039712
CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC
-
- General Acute Care Hospital
- Dothan, AL
- NPI 1801830500
CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC
-
- Medicare Defined Swing Bed Hospital Unit
- Bluffton, IN
- NPI 1356839591
CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC
-
- General Acute Care Hospital
- Bluffton, IN
- NPI 1376594366
CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1616976000000",
"number": "1043263221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3690 GRANDVIEW PKWY",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352433326",
"telephone_number": "205-971-1000",
"fax_number": "205-971-5653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3690 GRANDVIEW PKWY",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352433326",
"telephone_number": "205-971-1000",
"fax_number": "205-971-5653"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AFFINITY HOSPITAL LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "AFFINITY HOSPITAL LLC",
"enumeration_date": "2006-05-18",
"last_updated": "2021-03-29",
"certification_date": "2021-03-29",
"status": "A",
"authorized_official_last_name": "LALOR",
"authorized_official_first_name": "PAULA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "DIRECTOR/DELEGATED OFFICIAL",
"authorized_official_telephone_number": "629-215-3953"
},
"taxonomies": [
{
"code": "273R00000X",
"taxonomy_group": "",
"desc": "Psychiatric Unit",
"state": "AL",
"license": "11822",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HOS0104H",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Grandview Medical Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Grandview Medical Center",
"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 Mar 29, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.