Organization Active NPI

BKD Alabama SNF LLC

  • Skilled Nursing Facility
  • Birmingham, AL
National Provider Identifier
1366700528
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BKD ALABAMA SNF LLC
Practice address
501 University Park Drive
Birmingham, AL 35209-6738
Phone
(205) 870-0786
Fax
(205) 870-9807
NPI assigned
Apr 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Authorized official

Name
Anna F.C. Munoz
Title
Assistant Secretary
Phone
(414) 918-5443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

501 University Park Drive
Birmingham, AL 35209-6738

Mailing address

501 University Park Dr
Birmingham, AL 35209-6705
Phone (205) 379-7900

Other names 1

  • Brookdale University Park SNF (AL) Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120524000387 AL Part A Provider - Skilled Nursing Facility 2961665278 Practice locations: Birmingham, AL

Skilled nursing facility certification: CCN 015423

Legal name
BKD ALABAMA SNF LLC
Doing business as
BROOKDALE UNIVERSITY PARK SNF (AL)
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Sep 4, 2002
Last certification
Jun 27, 2024
Beds
66
Ownership / control type
Corporation
Multi-facility organization
Brookdale Senior Living
Most recent change of ownership
Nov 1, 2007
Organization structure
LLCProprietary
Enrollment address
501 University Park Dr
Birmingham, AL 35209-6705
Nursing home name
BROOKDALE UNIVERSITY PARK SNF (AL)
Affiliated entity
BROOKDALE SENIOR LIVING

Care Compare: Nursing home

Medicare Care Compare
Listed as
Brookdale University Park SNF (Al)CCN 015423
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare
Ownership
For profit - Corporation
Certified
Sep 4, 2002
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6662.7 residents per day on average
Chain
Brookdale Senior Living12 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
BKD Alabama SNF LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 25

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

NameRoleSinceShare
Kevin W Bowman Individual Managing Control - Governing BodyBoard of Managers Oct 1, 2021
Febc-Alt Investors LLC Organization, Brentwood, TN LLC Adp of the SNF Aug 24, 2022
BKD X Holdings LLC Organization, Brentwood, TN LLC Adp of the SNF Aug 24, 2022
Brookdale Senior Living Communities Inc Organization, Brentwood, TN Corporation Adp of the SNF Aug 24, 2022
Alian a Al Balas Individual Operational/Managerial Control Aug 8, 2020
Adp of the SNF Aug 12, 2025
Kevin W la Marre Individual Operational/Managerial Control Jan 22, 2017
Brookdale Senior Living Inc Organization, Brentwood, TN Corporation, For-profit, Chain home office 5% Or Greater Indirect Ownership Interest Nov 22, 2005 100%
Patsy Gann Individual Operational/Managerial Control Aug 8, 2025
Adp of the SNF Aug 12, 2025
Princess Diane Pippen Individual Operational/Managerial Control Jul 22, 2025
Chadwick C White Individual Operational/Managerial Control Mar 9, 2018
Managing Control - Governing BodyExecutive VP & Secretary/Manager Mar 9, 2018
Indirect Ownership Interest Feb 27, 2025 0.27%
Brandon Bornstein Individual Operational/Managerial Control Jul 22, 2025
Henry Todd Kaestner Individual Operational/Managerial Control Mar 1, 2022
Managing Control - Governing BodyExc VP Mar 21, 2022
Indirect Ownership Interest Apr 30, 2025 0.1%
Lucinda M Baier Individual Managing Control - Governing BodyPresident/Ceo/Manager Mar 9, 2018
LBMC PC Organization, Brentwood, TN Corporation Adp of the SNF Jan 1, 2024
Anna F.C. Munoz Individual Operational/Managerial Control Apr 5, 2024
Nikolas W Stengle Individual Corporate OfficerChief Executive Officer/Manager Nov 8, 2025
Operational/Managerial Control Nov 8, 2025
Managing Control - Governing BodyChief Executive Officer/Manager Nov 8, 2025
Febc-Alt Holdings Inc Organization, Brentwood, TN Corporation Adp of the SNF Aug 24, 2022
Capital One NA Organization, New York, NY Corporation, Financial institution, Owned by another organization or individual 5% Or Greater Mortgage Interest Oct 13, 2022 100%
5% Or Greater Security Interest Oct 13, 2022 100%
Individual Adp of the SNF Jul 22, 2025
Alabama Somerby, LLC Organization, Brentwood, TN LLC Adp of the SNF Mar 30, 2016
Capital One Financial Corporation Organization, MC Lean, VA Corporation, Holding company, Financial institution Adp of the SNF Sep 11, 2025
Dawn Kussow Individual Operational/Managerial Control Jul 23, 2024
Indirect Ownership Interest Apr 30, 2025 0.05%
Walters Financial Services Inc Organization, Sarasota, FL Corporation, Consulting firm Adp of the SNF Jul 22, 2025
American Retirement Corporation Organization, Brentwood, TN Corporation, Owned by another organization or individual Direct Ownership Interest Feb 23, 2012 100%
BKD FM Nine Holdings LLC Organization, Brentwood, TN LLC Adp of the SNF Aug 24, 2022

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 7

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

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1335312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740441600000",
    "number": "1366700528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 UNIVERSITY PARK DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096705",
            "telephone_number": "205-379-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 UNIVERSITY PARK DRIVE",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096738",
            "telephone_number": "205-870-0786",
            "fax_number": "205-870-9807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BKD ALABAMA SNF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-25",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A",
        "authorized_official_last_name": "MUNOZ",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "F.C.",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "414-918-5443"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookdale University Park SNF (AL)",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brookdale University Park SNF (AL)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.