Active NPI
Ball Healthcare-Jefferson, Inc.
- Skilled Nursing Facility
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 12587
- Legal business name
- BALL HEALTHCARE-JEFFERSON, INC.
- Practice address
- 1250 Jeff Germany Pkwy
Birmingham, AL 35214-4484 - Phone
- (205) 796-0214
- Fax
- (205) 796-0169
- NPI assigned
- Jun 18, 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
- Ms. Jackie Carter
- Title
- Administrator
- Phone
- (205) 796-0214
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 12587 | AL | Primary |
Addresses
Primary practice location
1250 Jeff Germany Pkwy
Birmingham, AL 35214-4484
Mailing address
1 Southern Way
Mobile, AL 36619-1210
Phone (251) 433-9801
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4758100S | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070130000099 | AL | Part A Provider - Skilled Nursing Facility | 6709887078 | Practice locations: Birmingham, AL |
Skilled nursing facility certification: CCN 015445
- Legal name
- BALL HEALTHCARE-JEFFERSON INC
- Doing business as
- CHERRY HILL REHABILITATION & HEALTHCARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 26, 2001
- Last certification
- Dec 14, 2022
- Beds
- 117
- Ownership / control type
- Corporation
- Multi-facility organization
- BALL HEALTHCARE INC
- Organization structure
- Corporation
- Incorporated
- Jan 6, 1995 in AL
- Enrollment address
- 1250 Jeff Germany Pkwy
Birmingham, AL 35214-4484 - Nursing home name
- CHERRY HILL REHABILITATION & HEALTHCARE CENTER
- Affiliated entity
- BALL HEALTHCARE SERVICES
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Cherry Hill Rehabilitation & Healthcare Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jul 26, 2001
- Medicare certification status
- Active
- Certified beds
- 117
- Chain
- Ball Healthcare Services
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 |
|---|---|---|---|
| 01D0993919 | Cherry Hill Healthcare Center | Certificate of waiver | Nov 28, 2027 |
National Provider Directory
National Provider DirectoryLocations
1250 Jeff Germany Pkwy
Birmingham, AL 35214
Phone (205) 796-0214
Ownership & related parties
All disclosed owners & managing parties 4
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 |
|---|---|---|---|
| Clarence Melvin Ball | 5% Or Greater Direct Ownership Interest | Jan 6, 1995 | 100% |
| Corporate Director | Jan 6, 1995 | ||
| Jacqueline Carter | W-2 Managing Employee | Jan 1, 2021 | |
| Ball Healthcare Service, Inc | Operational/Managerial Control | Jun 1, 2001 | |
| Matthew Hall | Corporate Officer | Oct 1, 2014 |
Facilities with the same owner 3
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Selma, AL
- NPI 1932112430
Ball Healthcare Service, Inc
-
- Skilled Nursing Facility
- Monroeville, AL
- NPI 1013941764
Ball Healthcare Service, Inc
-
- Skilled Nursing Facility
- Robertsdale, AL
- NPI 1124066923
Ball Healthcare Service, Inc
Practitioners & affiliated clinicians
Practitioners 3
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 1265604227
-
- Cardiovascular Disease Physician
- Birmingham, AL
- NPI 1689618357
-
- Internal Medicine Physician
- Jasper, AL
- NPI 1114556271
Affiliated clinicians 3
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": "1150588800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1615161600000",
"number": "1891730438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 SOUTHERN WAY",
"city": "MOBILE",
"state": "AL",
"postal_code": "366191210",
"telephone_number": "251-433-9801",
"fax_number": "251-433-9807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 JEFF GERMANY PKWY",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352144484",
"telephone_number": "205-796-0214",
"fax_number": "205-796-0169"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BALL HEALTHCARE-JEFFERSON, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-18",
"last_updated": "2021-03-08",
"certification_date": "2021-03-08",
"status": "A",
"authorized_official_last_name": "CARTER",
"authorized_official_first_name": "JACKIE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "205-796-0214",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "AL",
"license": "12587",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4758100S",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
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 Mar 8, 2021; 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.