NPIMap

Organization Active NPI

New Beacon Healthcare Group, LLC

  • Community Based Hospice Care Agency
  • Birmingham, AL
National Provider Identifier
1770512741
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
E3706 Issued in AL
Legal business name
NEW BEACON HEALTHCARE GROUP, LLC
Practice address
5582 Apple Park Dr
Birmingham, AL 35235-8616
Phone
(205) 939-8799
Fax
(205) 939-1682
NPI assigned
Jul 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Authorized official

Name
Jennifer Tyler
Title
VP of Regulatory Counsel
Phone
(704) 664-2876

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X E3706 AL Primary

Addresses

Primary practice location

5582 Apple Park Dr
Birmingham, AL 35235-8616

Mailing address

PO Box 4060
Attn: Regulatory
Mooresville, NC 28117-4060
Phone (704) 664-2876

Other practice location 1

1140 1st St N Ste 200
Alabaster, AL 35007-8771
Phone (205) 620-3508

Other practice location 2

7067 Sydney Curv Ste B
Montgomery, AL 36117-3509
Phone (334) 260-2273

Other practice location 3

1300 Talladega Hwy
Sylacauga, AL 35150-1628
Phone (256) 207-2055

Other practice location 4

201 Medical Center Dr
Clanton, AL 35045-2329
Phone (205) 280-3793

Other identifiers 1

IdentifierTypeStateIssuer
PIC1501EMedicaidAL

Other names 2

  • New Beacon of Birmingham Doing business as
  • SouthernCare New Beacon - N. Birmingham Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060907000302 AL Part A Provider - Hospice 5092719955 Practice locations: Alabaster, AL; Clanton, AL; Montgomery, AL

Hospice certification: CCN 011501

Legal name
NEW BEACON HEALTHCARE GROUP, LLC
Doing business as
SOUTHERNCARE NEW BEACON N BIRMINGHAM
Certification status
Active
Provider type (POS)
Hospice
Participating since
May 24, 1984
Last certification
Feb 12, 2015
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
May 30, 2006 in DE
Enrollment address
122 7TH Ave NE
Ste D
Alabaster, AL 35007-9121

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Southerncare New Beacon N BirminghamCCN 011501
Ownership
For-Profit
Certified
May 24, 1984
Medicare certification status
ActiveFrom the Provider of Services file

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
01D2055909New Beacon Healthcare Group LLC - N Birmingham5582 Apple Park Drive, Birmingham, AL 35235Certificate of waiverMar 18, 2027

Ownership & related parties

All disclosed owners & managing parties 22

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

NameRoleSinceShare
CH Services Midco Holdings Inc Organization, Mooresville, NC For-profit 5% Or Greater Indirect Ownership Interest Feb 5, 2015 100%
Kentucky Homecare Parent Inc. Organization, Atlanta, GA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Aug 11, 2022 40%
Ronald C Lazas Individual Corporate OfficerGeneral Counsel/Corporate Secretary Apr 27, 2021
Curo Health Services Holdings, Inc Organization, Mooresville, NC For-profit 5% Or Greater Indirect Ownership Interest Jun 6, 2014 100%
David Robinson Arnold Individual Corporate OfficerVP and Controller Dec 31, 2021
W-2 Managing EmployeeHome Office Administrator Dec 31, 2021
Thomas Joseph Dolan Individual Corporate OfficerChief Financial Officer Nov 30, 2021
Charlotte Midco, LLC Organization, Atlanta, GA LLC, For-profit 5% Or Greater Indirect Ownership Interest Aug 11, 2022 100%
Kentucky Homecare Holdings, Inc. Organization, Atlanta, GA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Aug 11, 2022 40%
Humana Inc Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Aug 11, 2022 40%
Falcon Hospice, LP Organization, Atlanta, GA For-profit 5% Or Greater Indirect Ownership Interest Aug 11, 2022 100%
David Allen Causby Individual Corporate OfficerChief Executive Officer / President Apr 27, 2021
Regency Healthcare Holdings LLC Organization, Mooresville, NC For-profit 5% Or Greater Indirect Ownership Interest Apr 15, 2011 100%
Charlotte Buyer, Inc. Organization, Fort Worth, TX Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jul 11, 2018 100%
Curo Health Services LLC Organization, Mooresville, NC For-profit 5% Or Greater Indirect Ownership Interest Jun 6, 2014 100%
Janet L Combs Individual Corporate OfficerVice President of Licensure Nov 1, 2021
CD&R Falcon Holdings, LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Aug 11, 2022 60%
Jennifer Forsyth Butler Individual W-2 Managing EmployeeAdministrator Aug 25, 2019
Centerwell Health Services Inc Organization, Atlanta, GA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Aug 11, 2022 40%
Kah Hospice Company, Inc Organization, Atlanta, GA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2022 100%
Regency Healthcare Group LLC Organization, Mooresville, NC LLC 5% Or Greater Direct Ownership Interest Apr 15, 2011 100%
Operational/Managerial Control Jul 1, 2006
CH Services Group Holdings Inc Organization, Mooresville, NC For-profit 5% Or Greater Indirect Ownership Interest Feb 5, 2015 100%
CH Services Holdings Inc Organization, Mooresville, NC For-profit 5% Or Greater Indirect Ownership Interest Feb 5, 2015 100%

Owners & managing parties with NPI records 18

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

View all 18

Facilities with the same owner 195

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 195

Practitioners & affiliated clinicians

Affiliated clinicians 16

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787702400000",
    "number": "1770512741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4060",
            "address_2": "ATTN: REGULATORY",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281174060",
            "telephone_number": "704-664-2876",
            "fax_number": "704-230-0946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5582 APPLE PARK DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352358616",
            "telephone_number": "205-939-8799",
            "fax_number": "205-939-1682"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1140 1st St N Ste 200",
            "address_purpose": "LOCATION",
            "city": "Alabaster",
            "state": "AL",
            "postal_code": "350078771",
            "country_code": "US",
            "telephone_number": "205-620-3508",
            "fax_number": "205-620-6181",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7067 Sydney Curv Ste B",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361173509",
            "country_code": "US",
            "telephone_number": "334-260-2273",
            "fax_number": "334-260-2274",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 Talladega Hwy",
            "address_purpose": "LOCATION",
            "city": "Sylacauga",
            "state": "AL",
            "postal_code": "351501628",
            "country_code": "US",
            "telephone_number": "256-207-2055",
            "fax_number": "256-207-2054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Clanton",
            "state": "AL",
            "postal_code": "350452329",
            "country_code": "US",
            "telephone_number": "205-280-3793",
            "fax_number": "205-280-3863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEW BEACON HEALTHCARE GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A",
        "authorized_official_last_name": "TYLER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "VP OF REGULATORY COUNSEL",
        "authorized_official_telephone_number": "704-664-2876"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "AL",
            "license": "E3706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PIC1501E",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Beacon of Birmingham",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SouthernCare New Beacon - N. Birmingham",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.