Organization Active NPI

Presbyterian Retirement Homes of Birmingham, Inc.

  • Nursing Facility/Intermediate Care Facility
  • Birmingham, AL
National Provider Identifier
1619061694
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
10571 Issued in AL
Legal business name
PRESBYTERIAN RETIREMENT HOMES OF BIRMINGHAM, INC.
Doing business as
Kirkwood By The River
Practice address
3605 Ratliff Rd
Birmingham, AL 35210-4512
Phone
(205) 956-2184
Fax
(205) 956-7133
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Walter Gene Ashley
Title
President
Phone
(205) 956-2184

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 10571 AL Primary

Addresses

Primary practice location

3605 Ratliff Rd
Birmingham, AL 35210-4512

Mailing address

3605 Ratliff Rd
Birmingham, AL 35210-4512
Phone (205) 956-2184

Other names 1

  • Kirkwood By The River Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050404000905 AL Part A Provider - Skilled Nursing Facility 8527015304 Practice locations: Birmingham, AL

Skilled nursing facility certification: CCN 015457

Legal name
PRESBYTERIAN RETIREMENT HOMES OF BIRMINGHAM, INC.
Doing business as
KIRKWOOD BY THE RIVER
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Sep 8, 2006
Last certification
Oct 7, 2021
Beds
61
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Feb 3, 1976 in AL
Enrollment address
3605 Ratliff Rd
Birmingham, AL 35210-4512
Nursing home name
KIRKWOOD BY THE RIVER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Kirkwood by the RiverCCN 015457 · All quality measures
Overall star rating
3 of 5
Health inspections
4 of 5
Staffing
1 of 5
Quality measures
2 of 5
Type
Medicare
Ownership
Non profit - Corporation
Certified
Sep 8, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6154.2 residents per day on average

Processed by Care Compare on Aug 1, 2026.

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
01D1015632Kirkwood by the River3605 Ratliff Road, Birmingham, AL 35210Certificate of waiverAug 10, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Adeeb Thomas Individual Operational/Managerial Control Nov 1, 2020
Adp of the SNF Nov 1, 2020
Margaret Brunstad Individual Corporate OfficerVice Chairman of the Board Apr 1, 2011 50%
John Higgins Individual Corporate OfficerChairman of the Board Feb 1, 2009
Chad Carter Individual Corporate OfficerPresident/ Ceo Oct 16, 2014
Adp of the SNF Oct 16, 2014
James Searcy Snow Individual Corporate OfficerTreasurer Apr 1, 1997
William C Widman Individual Corporate Director Dec 12, 2006
Jeffrey Burchfield Individual Operational/Managerial Control Aug 1, 2013
Adp of the SNF Aug 1, 2013

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619061694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 RATLIFF RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352104512",
            "telephone_number": "205-956-2184",
            "fax_number": "205-956-7133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 RATLIFF RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352104512",
            "telephone_number": "205-956-2184",
            "fax_number": "205-956-7133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESBYTERIAN RETIREMENT HOMES OF BIRMINGHAM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ASHLEY",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "GENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-956-2184",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "AL",
            "license": "10571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kirkwood By The River",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.