NPIMap

Organization Active NPI

Noland Hospital Anniston II, LLC

  • Long Term Care Hospital
  • Anniston, AL
National Provider Identifier
1538166343
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
H0805 Issued in AL
Legal business name
NOLAND HOSPITAL ANNISTON II, LLC
Doing business as
Noland Hospital Anniston II, LLC
Practice address
400 East 10TH Street
FL Oor 4TH
Anniston, AL 36207-4716
Phone
(256) 741-6141
Fax
(256) 741-6158
NPI assigned
Jul 7, 2005
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
Long Term Care Hospital 282E00000X H0805 AL Primary

Addresses

Primary practice location

400 East 10TH Street
FL Oor 4TH
Anniston, AL 36207-4716

Mailing address

600 Corporate Pkwy Ste 100
Birmingham, AL 35242-5451
Phone (205) 783-8444

Other names 1

  • Noland Hospital Anniston II, LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150410000500 AL Part A Provider - Hospital 3173841756 Practice locations: Anniston, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1538166343. Details of each certification follow.

Hospital certification: CCN 012011

Legal name
NOLAND HOSPITAL ANNISTON II, LLC
Certification status
Active
Provider type (POS)
Hospital – Long-term
Participating since
Jul 21, 2004
Last certification
Jul 22, 2004
Beds
38
Ownership / control type
Private (not for profit)
Most recent change of ownership
Feb 1, 2015 (1 total)
Organization structure
LLCNon-profit
Incorporated
Jan 12, 2015 in DE
Enrollment address
400 East 10TH Street
4TH Floor
Anniston, AL 36207-4716
Main/Primary Hospital Location
Hospital subgroups
Acute care, Long-term, Other

Care Compare: Long-term care hospital

Medicare Care Compare
Listed as
Noland Hospital Anniston II, LLCCCN 012011 · All quality measures
Ownership
Non-profit
Certified
Jul 21, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Beds
38

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D1026326Noland Hospital Anniston II, LLC400 East 10TH Street - 4TH Floor, Anniston, AL 36207Certificate of waiverJan 10, 2028

National Provider Directory

National Provider Directory

Locations

400 E 10th St
Fl 4
Anniston, AL 36207
Phone (225) 348-6114

400 E 10th St
Fl Oor
Anniston, AL 36207
Phone (256) 741-6141

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Robert Gary Goff Individual Corporate DirectorBoard Member Sep 2, 1987
Carol Moseley Knight Individual Corporate DirectorBoard Member May 14, 2025
Michele B Adamson Individual Corporate DirectorBoard Member May 10, 2017
Noland Health Services, Inc Organization, Birmingham, AL Corporation, Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Jan 12, 2015 100%
Nicholas V Renda Individual Corporate DirectorEvp/Cfo/Board Member Oct 26, 2020
W-2 Managing EmployeeEvp/Cfo/Board Member Oct 26, 2020
Trina F. Woods Individual W-2 Managing Employee Mar 1, 2019
Matthew Hall Individual W-2 Managing EmployeeAssistant VP Finance-Revenue Jan 31, 2022
Isaac Ripon Britton Individual Corporate DirectorBoard Member Feb 14, 2007
James T Waggoner Individual Corporate DirectorBoard Member May 10, 2017
George S Smith Individual Corporate DirectorBoard Member Aug 25, 2009
Debra J Nelson Individual Corporate DirectorBoard Member May 11, 2017
Barbara E. Estep Individual Corporate Director Apr 1, 2024

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

Affiliated clinicians 4

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": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1538166343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 CORPORATE PKWY STE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352425451",
            "telephone_number": "205-783-8444",
            "fax_number": "205-783-8441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 EAST 10TH STREET",
            "address_2": "FL OOR 4TH",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362074716",
            "telephone_number": "256-741-6141",
            "fax_number": "256-741-6158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOLAND HOSPITAL ANNISTON II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "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": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "AL",
            "license": "H0805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Noland Hospital Anniston II, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anniston, AL

Sources for this page

Verify at the official NPI Registry.