Birmingham Nursing and Rehabilitation Center, LLC
Organization Active NPI Skilled Nursing Facility · Birmingham, AL
NPI 1508939745 · NPPES record last updated Dec 11, 2023
Key facts
- NPI
- 1508939745
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- N3740 (AL)
- 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
- Organization subpart
- No
Authorized official
- Name
- Mr. Norbert A Bennett
- Title
- Co-Chief Executive Officer
- Phone
- (716) 662-4955
Facilities with the same owner 30
Practitioners 1
-
Mohamed Ammar Aldaher, M.D.
Affiliated clinicians 1
-
Mohamed Ammar Aldaher, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Birmingham Nursing and Rehabilitation Ctr LLC
- Overall star rating
- ★☆☆☆☆ 1 of 5
- Health inspections
- ★☆☆☆☆ 1 of 5
- Staffing
- ★★☆☆☆ 2 of 5
- Quality measures
- ★★★★☆ 4 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jan 1, 1978
- Medicare certification status
- Active
- Certified beds
- 132 · 111.7 residents per day on average
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 2 · fines totaling $68,647
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
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 · Proprietary
- Incorporated
- May 7, 2003 in AL
- Enrollment address
- 1000 Dugan Ave
Birmingham, AL 35214-4326
All disclosed owners & managing parties 8
| 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% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030619000019 | AL | Part a Provider - Skilled Nursing Facility | 2365352465 | Practice locations: Birmingham, AL |
National Provider Directory
Locations
100 Ashford Ctr N
Ste 300
Atlanta, GA 30338
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | N3740 | AL | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 71-00017 | Other | AL | MEDICARE COMPLETE |
| 4757290S | Medicaid | AL | |
| 00389 | Other | AL | BC BS OF ALABAMA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | ENDPOINT | Other | The White Stone Group d/b/a Vyne Medical |
Other providers in Birmingham, AL
- Birmingham Med Rehab I, LLC
- 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
- Birmingham Pain Management & Rehabilitation Centers, PC
- Birmingham Pediatric Assoc
- Birmingham Pediatric Dental Care Associates
All providers in Birmingham, AL · Skilled Nursing Facility in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.