NPIMap

Organization Active NPI

Noland Eastern Shore, LLC

Doing business as Eastern Shore Rehabilitation and Health Center

  • Skilled Nursing Facility
  • Daphne, AL
National Provider Identifier
1497113740
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
NOLAND EASTERN SHORE, LLC
Doing business as
Eastern Shore Rehabilitation and Health Center
Practice address
101 Villa Dr
Daphne, AL 36526-4653
Phone
(251) 626-2694
NPI assigned
Feb 2, 2016
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
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

101 Villa Dr
Daphne, AL 36526-4653

Mailing address

600 Corporate Pkwy
Suite 100
Birmingham, AL 35242-5451
Phone (205) 783-8460

Other names 1

  • Eastern Shore Rehabilitation and Health Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160516000349 AL Part A Provider - Skilled Nursing Facility 2466741483 Practice locations: Daphne, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497113740. Details of each certification follow.

Skilled nursing facility certification: CCN 015049

Legal name
NOLAND EASTERN SHORE LLC
Doing business as
EASTERN SHORE REHABILITATION AND HEALTH CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 23, 1967
Last certification
Mar 26, 2021
Beds
117
Ownership / control type
Nonprofit Corporation
Multi-facility organization
NOLAND HEALTH SERVICES
Most recent change of ownership
May 13, 2016
Organization structure
LLCNon-profit
Enrollment address
101 Villa Dr
Daphne, AL 36526-4653
Nursing home name
EASTERN SHORE REHABILITATION AND HEALTH CENTER
Affiliated entity
NOLAND HEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Eastern Shore Rehabilitation and Health CenterCCN 015049 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jan 23, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
11797.7 residents per day on average
Chain
Noland Health10 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 20

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 Managing Control - Governing BodyBoard Member Sep 2, 1987
Sharon Sanders Individual Operational/Managerial Control Oct 20, 2024
Adp of the SNF Oct 20, 2024
Kelley Z Urban Individual Operational/Managerial Control Mar 3, 2019
Adp of the SNF Mar 3, 2019
Michele B Adamson Individual Managing Control - Governing BodyBoard Member Oct 26, 2020
Randall L Hall Individual Adp of the SNF May 13, 2016
Noland Health Services, Inc Organization, Hoover, AL Corporation, Chain home office Operational/Managerial Control May 13, 2016
Adp of the SNF May 13, 2016
Direct Ownership Interest May 13, 2016 100%
Karen Kenwright Individual Operational/Managerial Control Nov 27, 2017
Adp of the SNF Nov 27, 2017
Nicholas V Renda Individual Corporate DirectorCfo/Evp/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
Adp of the SNF Jan 31, 2022
Isaac Ripon Britton Individual Managing Control - Governing BodyBoard Member Feb 14, 2007
Angela Novy Individual Operational/Managerial Control Mar 9, 2025
Adp of the SNF Mar 9, 2025
James T Waggoner Individual Managing Control - Governing BodyBoard Member Oct 26, 2020
Kathy Smothers Individual Operational/Managerial Control Apr 12, 2021
Adp of the SNF Apr 12, 2021
George S Smith Individual Managing Control - Governing BodyBoard Member Aug 25, 2009
Debra J Nelson Individual Managing Control - Governing BodyBoard Member Oct 26, 2020
Morrison Management Specialists Inc Organization, Sandy Springs, GA Corporation Adp of the SNF May 13, 2016
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
Warren Averett LLC Organization, Birminghan, AL LLC, Consulting firm Adp of the SNF Jun 1, 2022
Noland Pharmacy LLC Organization, Daphne, AL LLC, Medical provider/supplier Adp of the SNF Jul 1, 2023

Owners & managing parties with NPI records 1

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, and the practitioner matching its NPPES authorized official.

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": "1454371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1497113740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 CORPORATE PKWY",
            "address_2": "SUITE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352425451",
            "telephone_number": "205-783-8460",
            "fax_number": "205-783-8441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 VILLA DR",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365264653",
            "telephone_number": "251-626-2694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOLAND EASTERN SHORE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-02",
        "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": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastern Shore Rehabilitation and Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Daphne, AL

Sources for this page

Verify at the official NPI Registry.