Organization Active NPI

Ball Healthcare-Jefferson, Inc.

  • Skilled Nursing Facility
  • Birmingham, AL
National Provider Identifier
1891730438
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
12587 Issued in AL
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

Updated by the provider on Mar 8, 2021

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4758100SMedicaidAL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 CenterCCN 015445
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jul 26, 2001
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
117108.5 residents per day on average
Chain
Ball Healthcare Services9 facilities in the chain

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
01D0993919Cherry Hill Healthcare Center1250 Jeff Germany Parkway, Birmingham, AL 35214Certificate of waiverNov 28, 2027

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Clarence Melvin Ball Individual 5% Or Greater Direct Ownership Interest Jan 6, 1995 100%
Corporate Director Jan 6, 1995
Jacqueline Carter Individual W-2 Managing EmployeeAdministrator Jan 1, 2021
Ball Healthcare Service, Inc Organization, Mobile, AL Corporation Operational/Managerial Control Jun 1, 2001
Matthew Hall Individual 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.

Practitioners & affiliated clinicians

Practitioners 3

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

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

Verify at the official NPI Registry.