Episcopal Foundation of Jefferson County St. Martin's in the Pines

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

10566 Issued in AL

Legal business name

EPISCOPAL FOUNDATION OF JEFFERSON COUNTY ST. MARTIN'S IN THE PINES

Doing business as

St. Martin's in the Pines

Practice address

4941 Montevallo Rd
Birmingham, AL 35210-2418

Phone

(205) 956-1831

NPI assigned

Jun 16, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Mike Faulkner

Title

Cfo

Phone

(205) 314-4139

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• St. Martin's in the Pines Doing business as

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442188800000",
    "number": "1891790861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4941 MONTEVALLO RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352102418",
            "telephone_number": "205-956-1831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4941 MONTEVALLO RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352102418",
            "telephone_number": "205-956-1831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPISCOPAL FOUNDATION OF JEFFERSON COUNTY ST. MARTIN'S IN THE PINES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-16",
        "last_updated": "2015-09-14",
        "status": "A",
        "authorized_official_last_name": "FAULKNER",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "205-314-4139",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AL",
            "license": "10566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER #",
            "identifier": "015433",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4758000S",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Martin's in the Pines",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Skilled Nursing Facility in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.