Bal, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

N3710 Issued in AL

Legal business name

BAL, LLC

Doing business as

Hanover Health and Rehabilitation at Birmingham

Practice address

39 Hanover Cir S
Birmingham, AL 35205-1703

Phone

(205) 933-1828

Fax

(205) 933-0900

NPI assigned

Jul 3, 2007

Last updated

Oct 30, 2007By the provider in NPPES

Organization subpart

Yes

Parent organization

LP FACILITY VENTURES, LLCAs reported in NPPES

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

Authorized official

Name

Mr. Paul M Walczak

Title

Ceo

Phone

(561) 627-0664

Specialties & licenses 1

Addresses

Other names 1

• Hanover Health and Rehabilitation at Birmingham Doing business as

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1336347277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2979 PGA BLVD",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102911",
            "telephone_number": "561-627-0664",
            "fax_number": "561-627-2867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 HANOVER CIR S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051703",
            "telephone_number": "205-933-1828",
            "fax_number": "205-933-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAL, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LP FACILITY VENTURES, LLC",
        "enumeration_date": "2007-07-03",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "WALCZAK",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-627-0664",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AL",
            "license": "N3710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hanover Health and Rehabilitation at Birmingham",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wylie Ann Baker, DPT
• Michelle Bakey
• Anouar Bakir
• Stephen E Bakir, MD
• Ekaterina Bakradze, M.D.
• Susan Bal
• Christian Balabanoff Acosta, MD
• Priya Balamurugan
• Balance & Hearing Center, Inc.
• Balance Assurance LLC

• 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 Oct 30, 2007; 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.