NPIMap

Organization Active NPI

Northway Health and Rehabilitation, LLC

  • Skilled Nursing Facility
  • Birmingham, AL
National Provider Identifier
1811943152
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
NORTHWAY HEALTH AND REHABILITATION, LLC
Practice address
1424 25TH St N
Birmingham, AL 35234-2819
Phone
(205) 328-5870
NPI assigned
May 26, 2006
Last updated
Sep 14, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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

Authorized official

Name
Phillip Cody Long
Title
Cfo
Phone
(205) 391-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1424 25TH St N
Birmingham, AL 35234-2819

Mailing address

1424 25TH St N
Birmingham, AL 35234-2819
Phone (205) 328-5870

Other identifiers 2

IdentifierTypeStateIssuer
012651OtherALBCBS ID
4757850SMedicaidAL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070628000223 AL Part A Provider - Skilled Nursing Facility 4183723315 Practice locations: Birmingham, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1811943152. Details of each certification follow.

Skilled nursing facility certification: CCN 015047

Legal name
NORTHWAY HEALTH AND REHABILITATION, LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 1, 1976
Last certification
Apr 17, 2024
Beds
113
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Sep 7, 2000 in AL
Enrollment address
1424 25TH St N
Birmingham, AL 35234-2819
Nursing home name
NORTHWAY HEALTH AND REHABILITATION, LLC
Affiliated entity
NHS MANAGEMENT

Care Compare: Nursing home

Medicare Care Compare
Listed as
Northway Health and Rehabilitation, LLCCCN 015047 · All quality measures
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Nov 1, 1976
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
113108.3 residents per day on average
Chain
NHS Management43 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
James Norman Estes Jr TR Organization, Vestavia, AL 5% Or Greater Indirect Ownership Interest Jun 30, 2013 6.25%
Lynn S Rasco Individual Corporate DirectorDirector of Qa/Corp Compliance Ofcr Jul 1, 2022 33%
Operational/Managerial ControlDirector of Qa/Corp Compliance Ofcr Jul 1, 2022 33%
Jennifer Lee Estes TR 031093 Organization, Vestavia, AL 5% Or Greater Indirect Ownership Interest Jun 30, 2013 6.25%
James Norman Estes Individual 5% Or Greater Indirect Ownership InterestPresident/Treasurer Jan 1, 2003 51%
Corporate OfficerPresident/Treasurer Sep 7, 2000 100%
Holding Facilities Group LLC Organization, Tuscaloosa, AL LLC, Holding company, For-profit 5% Or Greater Security Interest Jun 1, 2012 2.98%
Phillip Cody Long Individual Corporate OfficerVice President/Secretary Oct 1, 2019
Other Jan 1, 2022 49%
Northway Health Realty LLC Organization, Tuscaloosa, AL LLC, For-profit 5% Or Greater Security Interest Jun 1, 2012
Jennifer E Agee Family Dynasty TR No 2 Organization, Tuscaloosa, AL 5% Or Greater Indirect Ownership Interest Dec 27, 2012 18.25%
Northport Holding Operations, LLC Organization, Tuscaloosa, AL LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Jan 1, 2003 100%
Letchernique Holmes Individual Corporate DirectorRegional Nurse Consultant Jan 3, 2022 33%
Operational/Managerial ControlRegional Nurse Consultant Jan 3, 2022 33%
Jordan T Kilgore Individual W-2 Managing EmployeeAdministrator Jan 15, 2024 100%
Operational/Managerial ControlAdministrator Jan 15, 2024 100%
James N Estes Jr Family Dynasty TR No 2 Organization, Tuscaloosa, AL 5% Or Greater Indirect Ownership Interest Dec 27, 2012 18.25%
Brandon S. Agee Individual Other Jan 1, 2022 49%
Derek Patterson Individual Corporate DirectorRegional Administrator Jan 3, 2022 33%
Operational/Managerial ControlRegional Administrator Jan 3, 2022 33%
NHS Management LLC Organization, Tuscaloosa, AL Other Jun 1, 2007
Capital Funding LLC Organization, Baltimore, MD LLC, Financial institution, For-profit 5% Or Greater Mortgage Interest Jun 1, 2012
5% Or Greater Security Interest Jun 1, 2012
Servisfirst Bank Organization, Birmingham, AL Financial institution, For-profit 5% Or Greater Security Interest Aug 29, 2018 35.36%

Facilities with the same owner 42

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

View all 42

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600041600000",
    "number": "1811943152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 25TH ST N",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352342819",
            "telephone_number": "205-328-5870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 25TH ST N",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352342819",
            "telephone_number": "205-328-5870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWAY HEALTH AND REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "CODY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "205-391-3600"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID",
            "identifier": "012651",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4757850S",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.