Organization Active NPI

Baldwin Health and Rehab LLC

  • Skilled Nursing Facility
  • Fairhope, AL
National Provider Identifier
1164063848
Registry record updated Apr 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BALDWIN HEALTH AND REHAB LLC
Practice address
22670 Main St
Fairhope, AL 36532-8301
Phone
(251) 928-2177
Fax
(251) 928-2698
NPI assigned
Oct 3, 2019
Last updated
Apr 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2020

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

Authorized official

Name
Shalom Lerner
Title
Manager
Phone
(718) 564-6560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

22670 Main St
Fairhope, AL 36532-8301

Mailing address

22670 Main St
Fairhope, AL 36532-8301
Phone (251) 928-2177

National Provider Directory

National Provider Directory

Locations

22670 Main St
Fairhope, AL 36532
Phone (205) 602-7365

NPI Registry JSON

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587081600000",
    "number": "1164063848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22670 MAIN ST",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365328301",
            "telephone_number": "251-928-2177",
            "fax_number": "251-928-2698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22670 MAIN ST",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365328301",
            "telephone_number": "251-928-2177",
            "fax_number": "251-928-2698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALDWIN HEALTH AND REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-03",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A",
        "authorized_official_last_name": "LERNER",
        "authorized_official_first_name": "SHALOM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-564-6560"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairhope, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; 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.