NPIMap

Organization Active NPI

Noland Hospital Tuscaloosa II, LLC

  • Long Term Care Hospital
  • Tuscaloosa, AL
National Provider Identifier
1336146141
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
H6308 Issued in AL
Legal business name
NOLAND HOSPITAL TUSCALOOSA II, LLC
Doing business as
Noland Hospital Tuscaloosa II, LLC
Practice address
809 University Boulevard, East - 4TH Floor
Tuscaloosa, AL 35401-2029
Phone
(205) 759-7241
Fax
(205) 750-5420
NPI assigned
Jul 7, 2005
Last updated
Nov 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Authorized official

Name
Nicholas V Renda
Title
Evp/Cfo
Phone
(205) 783-8460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X H6308 AL Primary

Addresses

Primary practice location

809 University Boulevard, East - 4TH Floor
Tuscaloosa, AL 35401-2029

Mailing address

600 Corporate Pkwy Ste 100
Birmingham, AL 35242-5451
Phone (205) 783-8444

Other names 1

  • Noland Hospital Tuscaloosa II, LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150410000158 AL Part A Provider - Hospital 4284609207 Practice locations: Tuscaloosa, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1336146141. Details of each certification follow.

Hospital certification: CCN 012012

Legal name
NOLAND HOSPITAL TUSCALOOSA II, LLC
Certification status
Active
Provider type (POS)
Hospital – Long-term
Participating since
Apr 1, 2005
Last certification
Apr 1, 2005
Beds
32
Ownership / control type
Private (not for profit)
Most recent change of ownership
Feb 1, 2015 (2 total)
Organization structure
LLCNon-profit
Incorporated
Jan 12, 2015 in DE
Enrollment address
809 University Boulevard East
4TH Floor
Tuscaloosa, AL 35401-2029
Main/Primary Hospital Location
Hospital subgroups
Long-term

Care Compare: Long-term care hospital

Medicare Care Compare
Listed as
Noland Hospital Tuscaloosa II, LLCCCN 012012 · All quality measures
Ownership
Non-profit
Certified
Apr 1, 2005
Medicare certification status
ActiveFrom the Provider of Services file
Beds
32

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D1030971Noland Hospital Tuscaloosa II, LLC809 University Blvd East, Tuscaloosa, AL 35401AccreditationSep 13, 2026

National Provider Directory

National Provider Directory

Locations

809 University Blvd E
Fl 4
Tuscaloosa, AL 35401
Phone (205) 759-7241

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Robert Gary Goff Individual Corporate DirectorBoard Member Sep 2, 1987
John C Heffner Individual W-2 Managing EmployeeInterim Administrator Jan 1, 2025
Carol Moseley Knight Individual Corporate DirectorBoard Member May 14, 2025
Michele B Adamson Individual Corporate DirectorBoard Member May 10, 2017
Noland Health Services, Inc Organization, Birmingham, AL Non-profit 5% Or Greater Direct Ownership Interest Jan 12, 2015 100%
Nicholas V Renda Individual Corporate DirectorEvp/Cfo/Board Member Oct 26, 2020
W-2 Managing EmployeeEvp/Cfo/Board Member Oct 26, 2020
Matthew Hall Individual W-2 Managing EmployeeAssistant VP Finance-Revenue Jan 31, 2022
Isaac Ripon Britton Individual Corporate DirectorBoard Member Feb 14, 2007
James T Waggoner Individual Corporate DirectorBoard Member May 10, 2017
George S Smith Individual Corporate DirectorBoard Member Aug 25, 2009
Debra J Nelson Individual Corporate DirectorBoard Member May 11, 2017
Barbara E. Estep Individual Corporate DirectorPresident/Ceo/Board Member Apr 1, 2024
W-2 Managing EmployeePresident/Ceo/Board Member Apr 1, 2024

Facilities with the same owner 13

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 13

Practitioners & affiliated clinicians

Practitioners 1

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.

Affiliated clinicians 13

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1336146141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 CORPORATE PKWY STE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352425451",
            "telephone_number": "205-783-8444",
            "fax_number": "205-783-8441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 UNIVERSITY BOULEVARD, EAST - 4TH FLOOR",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354012029",
            "telephone_number": "205-759-7241",
            "fax_number": "205-750-5420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOLAND HOSPITAL TUSCALOOSA II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "RENDA",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "EVP/CFO",
        "authorized_official_telephone_number": "205-783-8460"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "AL",
            "license": "H6308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Noland Hospital Tuscaloosa II, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.