Active NPI
Birmingham Nursing and Rehabilitation Center, LLC
- Skilled Nursing Facility
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- N3740
- Legal business name
- BIRMINGHAM NURSING AND REHABILITATION CENTER, LLC
- Practice address
- 1000 Dugan Ave
Birmingham, AL 35214-4326 - Phone
- (205) 798-8780
- Fax
- (205) 798-7685
- NPI assigned
- Nov 16, 2006
- Last updated
- Dec 11, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Norbert A Bennett
- Title
- Co-Chief Executive Officer
- Phone
- (716) 662-4955
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | N3740 | AL | Primary |
Addresses
Primary practice location
1000 Dugan Ave
Birmingham, AL 35214-4326
Mailing address
PO Box 428
Orchard Park, NY 14127-0428
Phone (716) 662-4955
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4757290S | Medicaid | AL | |
| 00389 | Other | AL | BC BS OF ALABAMA |
| 71-00017 | Other | AL | MEDICARE COMPLETE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | ENDPOINT | Other | The White Stone Group d/b/a Vyne Medical |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030619000019 | AL | Part A Provider - Skilled Nursing Facility | 2365352465 | Practice locations: Birmingham, AL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1508939745. Details of each certification follow.
Skilled nursing facility certification: CCN 015217
- Legal name
- BIRMINGHAM NURSING AND REHABILITATION CENTER, LLC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1978
- Last certification
- Jun 26, 2024
- Beds
- 132
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Incorporated
- May 7, 2003 in AL
- Enrollment address
- 1000 Dugan Ave
Birmingham, AL 35214-4326
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Birmingham Nursing and Rehabilitation Ctr LLC
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jan 1, 1978
- Medicare certification status
- Active
- Certified beds
- 132
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 2
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 8
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Donad T Denz Irrv TR | 5% Or Greater Indirect Ownership Interest | May 23, 2008 | 6% |
| Norbert a Bennett | 5% Or Greater Indirect Ownership Interest | Jun 30, 2003 | 32.45% |
| Donald T Denz | 5% Or Greater Indirect Ownership Interest | Jun 30, 2003 | 44% |
| Norbert a Bennett Irrv TR Fbo Grandchildren | 5% Or Greater Indirect Ownership Interest | May 23, 2008 | 17.55% |
| Norbert a Bennett Irrv TR Fbo Children | 5% Or Greater Indirect Ownership Interest | May 23, 2008 | 17.55% |
| Delilah L Griffith | W-2 Managing Employee | Apr 9, 2020 | 100% |
| D&N, LLC | 5% Or Greater Direct Ownership Interest | Jun 30, 2003 | 50% |
| DTD HC LLC | 5% Or Greater Direct Ownership Interest | Jun 30, 2003 | 50% |
Facilities with the same owner 30
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Birmingham, AL
- NPI 1922111517
D&N, LLC, Donad T Denz Irrv TR, DTD HC LLC, Norbert a Bennett Irrv TR Fbo Children, Norbert a Bennett Irrv TR Fbo Grandchildren
-
- Skilled Nursing Facility
- Elba, AL
- NPI 1396181913
D&N, LLC, Norbert a Bennett Irrv TR Fbo Children, Norbert a Bennett Irrv TR Fbo Grandchildren
-
- Skilled Nursing Facility
- Florence, AL
- NPI 1972676104
D&N, LLC, DTD HC LLC, Norbert a Bennett Irrv TR Fbo Children, Norbert a Bennett Irrv TR Fbo Grandchildren
-
- Skilled Nursing Facility
- Birmingham, AL
- NPI 1861836306
D&N, LLC, Donad T Denz Irrv TR, DTD HC LLC, Norbert a Bennett Irrv TR Fbo Children, Norbert a Bennett Irrv TR Fbo Grandchildren
-
dba Willow Ridge Nursing and Rehabiliation Center
- Skilled Nursing Facility
- Arcadia, LA
- NPI 1316012321
Norbert a Bennett Irrv TR Fbo Children, Norbert a Bennett Irrv TR Fbo Grandchildren
-
- Skilled Nursing Facility
- Bernice, LA
- NPI 1174698005
DTD HC LLC, Norbert a Bennett Irrv TR Fbo Children, Norbert a Bennett Irrv TR Fbo Grandchildren
-
- Skilled Nursing Facility
- Hardin, IL
- NPI 1033285994
D&N, LLC, Donad T Denz Irrv TR, DTD HC LLC, Norbert a Bennett Irrv TR Fbo Children, Norbert a Bennett Irrv TR Fbo Grandchildren
-
- Skilled Nursing Facility
- Farmerville, LA
- NPI 1598830580
D&N, LLC, DTD HC LLC, Norbert a Bennett Irrv TR Fbo Children, Norbert a Bennett Irrv TR Fbo Grandchildren
-
- Skilled Nursing Facility
- Granite City, IL
- NPI 1356416465
Norbert a Bennett Irrv TR Fbo Children, Norbert a Bennett Irrv TR Fbo Grandchildren
-
- Skilled Nursing Facility
- Jefferson City, MO
- NPI 1952476343
D&N, LLC, DTD HC LLC, Norbert a Bennett Irrv TR Fbo Children, Norbert a Bennett Irrv TR Fbo Grandchildren
-
- Skilled Nursing Facility
- Jena, LA
- NPI 1316255177
D&N, LLC, DTD HC LLC, Norbert a Bennett Irrv TR Fbo Children, Norbert a Bennett Irrv TR Fbo Grandchildren
-
- Skilled Nursing Facility
- Jonesboro, GA
- NPI 1992814644
D&N, LLC, Donad T Denz Irrv TR, DTD HC LLC, Norbert a Bennett Irrv TR Fbo Children, Norbert a Bennett Irrv TR Fbo Grandchildren
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Internal Medicine Physician
- Sylacauga, AL
- NPI 1073527826
Affiliated clinicians 1
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": "1163635200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1702252800000",
"number": "1508939745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 428",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "141270428",
"telephone_number": "716-662-4955",
"fax_number": "716-667-9230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 DUGAN AVE",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352144326",
"telephone_number": "205-798-8780",
"fax_number": "205-798-7685"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIRMINGHAM NURSING AND REHABILITATION CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-16",
"last_updated": "2023-12-11",
"certification_date": "2023-12-11",
"status": "A",
"authorized_official_last_name": "BENNETT",
"authorized_official_first_name": "NORBERT",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CO-CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "716-662-4955",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "AL",
"license": "N3740",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4757290S",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS OF ALABAMA",
"identifier": "00389",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE COMPLETE",
"identifier": "71-00017",
"state": "AL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "ENDPOINT",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.17.8788.1",
"affiliationName": "The White Stone Group d/b/a Vyne Medical",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "100 Ashford Ctr N Ste 300",
"city": "Atlanta",
"state": "GA",
"country_code": "US",
"postal_code": "303384863",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Birmingham, AL
- Birmingham Med Rehab I, LLC (Carrington Place of Birmingham)
- Birmingham Minimally Invasive Surgery PC
- Birmingham Neurology, P.a.
- Birmingham Neurosurgery & Spine Group PC
- Birmingham Nursing and Rehabilitation Center East,LLC
- Birmingham Obstetrics Gynecology, P.C.
- Birmingham Outpatient Surgery Center LTD (Outpatient Carecenter)
- Birmingham Pain Management & Rehabilitation Centers, PC
- Birmingham Pediatric Assoc
- Birmingham Pediatric Dental Care Associates
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.