Active NPI
Presbyterian Retirement Homes of Birmingham, Inc.
- Nursing Facility/Intermediate Care Facility
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- 10571
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 River
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare
- Ownership
- Non profit - Corporation
- Certified
- Sep 8, 2006
- Medicare certification status
- Active
- Certified beds
- 61
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D1015632 | Kirkwood by the River | Certificate of waiver | Aug 10, 2027 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Adeeb Thomas | Operational/Managerial Control | Nov 1, 2020 | |
| Adp of the SNF | Nov 1, 2020 | ||
| Margaret Brunstad | Corporate Officer | Apr 1, 2011 | 50% |
| John Higgins | Corporate Officer | Feb 1, 2009 | |
| Chad Carter | Corporate Officer | Oct 16, 2014 | |
| Adp of the SNF | Oct 16, 2014 | ||
| James Searcy Snow | Corporate Officer | Apr 1, 1997 | |
| William C Widman | Corporate Director | Dec 12, 2006 | |
| Jeffrey Burchfield | 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.
-
- Internal Medicine Physician
- Birmingham, AL
- NPI 1568443786
Adp of the SNF, Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Birmingham, AL
- NPI 1568443786
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.