Ball Healthcare Eastview Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

12569 Issued in AL

Legal business name

BALL HEALTHCARE EASTVIEW INC

Practice address

7755 4TH Ave S
Birmingham, AL 35206-4425

Phone

(205) 833-0146

Fax

(205) 833-2978

NPI assigned

Jun 24, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Sara L Wallace

Title

Administrator

Phone

(205) 833-0146

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ricky L Fennell, MD

  • Cardiovascular Disease Physician
  • Birmingham, AL
  • NPI 1689618357
  NPD (past)

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479081600000",
    "number": "1275569873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SOUTHERN WAY",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366191210",
            "telephone_number": "251-433-9801",
            "fax_number": "251-433-9807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7755 4TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352064425",
            "telephone_number": "205-833-0146",
            "fax_number": "205-833-2978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALL HEALTHCARE EASTVIEW INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2016-11-14",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "205-833-0146",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AL",
            "license": "12569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4750140S",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mathew Balette, MD
• Jessica Balik
• Sarah Kathryn Balkcom
• Daniel F Balkovetz, MD
• Mary Balkovetz, MD
• Ball Healthcare-Jefferson, Inc. (Cherry Hill Outpatient Rehabilitation Center)
• Ball Healthcare-Jefferson, Inc.
• Ashley M Ball
• Sagarika Balla
• Alexandra Ballard, DNP, CRNA

• Skilled Nursing Facility in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Skilled Nursing Facility in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; 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.