NPIMap

Organization Active NPI

Village at Cook Springs, LLC

  • Skilled Nursing Facility
  • Cook Springs, AL
National Provider Identifier
1346247178
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
10646 Issued in AL
Legal business name
VILLAGE AT COOK SPRINGS, LLC
Practice address
415 Cook Springs Rd
Cook Springs, AL 35052-0010
Phone
(205) 338-2221
Fax
(205) 814-3253
NPI assigned
Jul 7, 2005
Organization subpart
Yes
Parent organization
NOLAND HEALTH SERVICES, INC.As reported in NPPES

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 10159 AL
Alzheimer Center (Dementia Center) 311500000X 10943 AL
Skilled Nursing Facility 314000000X 10646 AL Primary

Addresses

Primary practice location

415 Cook Springs Rd
Cook Springs, AL 35052-0010

Mailing address

600 Corporate Pkwy Ste 100
Birmingham, AL 35242-2934
Phone (205) 783-8472

Other identifiers 1

IdentifierTypeStateIssuer
47530505MedicaidAL

Other names 1

  • Village at Cook Springs Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051010000434 AL Part A Provider - Skilled Nursing Facility 1759306780 Practice locations: Pell City, AL

Skilled nursing facility certification: CCN 015195

Legal name
VILLAGE AT COOK SPRINGS, LLC
Doing business as
VILLAGE AT COOK SPRINGS SKILLED NURSING FACILITY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 1, 1977
Last certification
May 5, 2022
Beds
168
Ownership / control type
Nonprofit Corporation
Multi-facility organization
NOLAND HEALTH SERVICES
Organization structure
LLCNon-profit
Incorporated
Aug 31, 2001 in DE
Enrollment address
415 Cook Springs Rd
Pell City, AL 35125-4312
Nursing home name
VILLAGE AT COOK SPRINGS SKILLED NURSING FACILITY
Affiliated entity
NOLAND HEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Village at Cook Springs Skilled Nursing FacilityCCN 015195
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Dec 1, 1977
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
168132.3 residents per day on average
Chain
Noland Health10 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

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
01D0678595Village at Cook Springs LLC415 Cook Springs Rd, Pell City, AL 35125Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 21

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

NameRoleSinceShare
Crystal a Blackwell Individual Operational/Managerial Control Mar 9, 2025
Adp of the SNF Mar 9, 2025
Robert Gary Goff Individual Corporate DirectorBoard Member Oct 10, 2005
Managing Control - Governing Body Oct 10, 2005
Kelley Z Urban Individual Operational/Managerial Control Mar 3, 2019
Adp of the SNF Mar 3, 2019
Randolph P Pickell Individual Operational/Managerial Control Jun 14, 2021
Managing Control - Governing BodyAdministrator Jun 14, 2021
Adp of the SNF Jun 14, 2021
Michele B Adamson Individual Corporate DirectorBoard Member May 10, 2017
Managing Control - Governing BodyBoard Member May 10, 2017
Noland Health Services, Inc Organization, Birmingham, AL Corporation, Chain home office 5% Or Greater Direct Ownership Interest Oct 1, 2001 100%
Operational/Managerial Control Oct 1, 2001
Adp of the SNF Oct 1, 2001
Karen Kenwright Individual Operational/Managerial Control Nov 27, 2017
Adp of the SNF Nov 27, 2017
Nicholas V Renda Individual Corporate DirectorEvp/Cfo/Board Member Oct 26, 2020
Operational/Managerial Control Oct 26, 2020
Managing Control - Governing BodyEvp/Cfo/Board Member Oct 26, 2020
Adp of the SNF Oct 26, 2020
Matthew Hall Individual Operational/Managerial Control Jan 31, 2022
Managing Control - Governing BodyAssistant VP Finance-Revenue Jan 31, 2022
Adp of the SNF Jan 31, 2022
Isaac Ripon Britton Individual Corporate DirectorBoard Member Sep 27, 2013
Managing Control - Governing BodyBoard Member Sep 27, 2013
Beronica P Buterworth Individual Operational/Managerial Control Jul 2, 2023
Adp of the SNF Jul 2, 2023
James T Waggoner Individual Corporate DirectorBoard Member May 10, 2017
Managing Control - Governing BodyBoard Member May 10, 2017
Kathy Smothers Individual Operational/Managerial Control Apr 12, 2021
Adp of the SNF Apr 12, 2021
George S Smith Individual Corporate DirectorBoard Member Sep 27, 2013
Managing Control - Governing BodyBoard Member Sep 27, 2013
Debra J Nelson Individual Corporate DirectorBoard Member May 11, 2017
Managing Control - Governing BodyBoard Member May 11, 2017
Barbara E. Estep Individual Corporate DirectorPresident/Ceo/Board Member Apr 1, 2024
Operational/Managerial Control Apr 1, 2024
Managing Control - Governing BodyPresident/Ceo/Board Member Apr 1, 2024
Adp of the SNF Apr 1, 2024
Gregory M Flippo Individual Managing Control - Governing BodyMedical Director Apr 2, 2009
Adp of the SNF Apr 2, 2009
Warren Averett LLC Organization, Birmingham, AL LLC, Consulting firm Adp of the SNF Jun 1, 2022
Flippo Enterprises LLC Organization, Pinson, AL LLC, Medical provider/supplier Adp of the SNF Feb 1, 2018
Nutrition Plus, LLC Organization, Hoover, AL LLC Adp of the SNF Apr 13, 2022
Noland Pharmacy LLC Organization, Daphne, AL LLC, Medical provider/supplier Adp of the SNF Jul 1, 2023

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

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 2

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

Affiliated clinicians 2

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

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": "1346247178",
    "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": "352422934",
            "telephone_number": "205-783-8472",
            "fax_number": "205-783-8441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 COOK SPRINGS RD",
            "city": "COOK SPRINGS",
            "state": "AL",
            "postal_code": "350520010",
            "telephone_number": "205-338-2221",
            "fax_number": "205-814-3253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE AT COOK SPRINGS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NOLAND HEALTH SERVICES, INC.",
        "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": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AL",
            "license": "10159",
            "primary": false
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "AL",
            "license": "10943",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AL",
            "license": "10646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47530505",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village at Cook Springs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Sources for this page

Verify at the official NPI Registry.