Organization Active NPI

Birmingham Healthcare LLC

  • Skilled Nursing Facility
  • Birmingham, AL
National Provider Identifier
1497934533
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
N3737 Issued in AL
Legal business name
BIRMINGHAM HEALTHCARE LLC
Practice address
2728 10TH Ave S
Birmingham, AL 35205-1202
Phone
(205) 933-7010
NPI assigned
Oct 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2008

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

Authorized official

Name
Mrs. Alice Marie Clark Danks, CPA
Title
VP of Finanace
Phone
(423) 308-1845

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X N3737 AL Primary

Addresses

Primary practice location

2728 10TH Ave S
Birmingham, AL 35205-1202

Mailing address

2728 10TH Ave S
Birmingham, AL 35205-1202
Phone (205) 933-7010

Other identifiers 1

IdentifierTypeStateIssuer
4755400SMedicaidAL

Other names 1

  • GRACE HEALTHCARE OF BIRMINGHAM Doing business as

National Provider Directory

National Provider Directory

Locations

2728 10th Ave S
Birmingham, AL 35205
Phone (205) 930-0611

NPI Registry JSON

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1497934533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2728 10TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051202",
            "telephone_number": "205-933-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2728 10TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051202",
            "telephone_number": "205-933-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRMINGHAM HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "CLARK DANKS",
        "authorized_official_first_name": "ALICE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "VP OF FINANACE",
        "authorized_official_telephone_number": "423-308-1845",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AL",
            "license": "N3737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4755400S",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRACE HEALTHCARE OF BIRMINGHAM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; 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.