BALL HEALTHCARE JEFFERSON INC (NPI# 1891730438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891730438 |
| Entity Type | Organization |
| Organization Name | BALL HEALTHCARE JEFFERSON INC |
| Practice Address |
1250 Jeff Germany Pkwy Birmingham AL 35214-4484 |
| Mailing Address |
1 Southern Way Mobile AL 36619-1210 |
| Practice Telephone | 2057960214 |
| Practice Fax Number | 2057960169 |
| Mailing Telephone | 2514339801 |
| Mailing Fax Number | 2514339807 |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2016-11-14 |
| Authorized Official Name | MR. BRANDON T UPSHAW (ADMINISTRATOR) |
| Authorized Official Telephone | 2057960214 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 12587 | AL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 4758100S | 05 |
| Street Address |
1250 JEFF GERMANY PKWY |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35214-4484 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598270670 | Christy Hudson | Occupational Therapist | 1250 Jeff Germany Pkwy, Birmingham, AL 35214-4484 | 2017-12-11 |
| 1952731457 | Ah Carter, Md, LLC | Internal Medicine | 1250 Jeff Germany Pkwy, Birmingham, AL 35214-4484 | 2013-11-19 |
| 1285061127 | Ball Healthcare-jefferson, Inc. | Clinic/Center | 1250 Jeff Germany Pkwy, Birmingham, AL 35214-4484 | 2013-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194238881 | French Town Residential LLC | Clinic/Center | 1000 Avenue W., Birmingham, AL 35214 | 2017-11-16 |
| 1053832089 | Medhelp Shelby, LLC | Family Medicine | 3143 Pelham Parkway, Birmingham, AL 35214 | 2017-06-29 |
| 1124241294 | Cheri W. Cunningham | Dentist | 2129 Forestdale Blvd, Birmingham, AL 35214 | 2007-04-10 |
| 1831258219 | Brewis Pharmacy Inc | Pharmacy | 1548 Forestdale Blvd, Birmingham, AL 35214 | 2006-12-08 |
| 1114032307 | Bruno's Supermarket's, LLC. | Durable Medical Equipment & Medical Supplies | 1940 Forestdale Blvd, Forestdale, AL 35214 | 2006-08-20 |
| 1770552077 | Larry Wayne Taylor | Family Medicine | 6554 Aaron Dr, Fairfield, AL 35214 | 2006-03-17 |
| 1518934140 | Carey Wayne Ketchum | Internal Medicine | 1664 Forestdale Blvd, American Family Care Inc Forestdale Clinic, Forestdale, AL 35214 | 2006-03-02 |
| 1144609991 | Mary Irby | Speech-Language Pathologist | 245 Cahaba Valley Parkway, Birmingham, AL 35214 | 2015-05-27 |
| 1023320769 | Karol Medina Poczatek | Dentist | 2685 Pelham Pkwy, Suite B, Birmingham, AL 35214 | 2010-07-10 |
| 1265623888 | William Brandon Myers | Pharmacist | 1548 Forestdale Blvd, Birmingham, AL 35214 | 2007-08-08 |
| Find all providers in zip 35214 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124574843 | Hair To Go | Skilled Nursing Facility | 4097 Somerset Ridge, Birmingham, AL 35242 | 2016-09-01 |
| 1366700528 | Bkd Alabama Snf LLC | Skilled Nursing Facility | 501 University Park Drive, Birmingham, AL 35209-6738 | 2012-04-25 |
| 1497934533 | Birmingham Healthcare LLC | Skilled Nursing Facility | 2728 10th Ave S, Birmingham, AL 35205-1202 | 2007-10-25 |
| 1033230966 | Ssc Birmingham Operating Company LLC | Skilled Nursing Facility | 1028 Bessemer Rd, Birmingham, AL 35228-1103 | 2007-04-02 |
| 1366594939 | Hcc-healthcare of Birmingham LLC | Skilled Nursing Facility | 39 Hanover Cir S, Birmingham, AL 35205-1703 | 2007-01-17 |
| 1508939745 | Birmingham Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 1000 Dugan Ave, Birmingham, AL 35214-4326 | 2006-11-16 |
| 1528177615 | Methodist Home for The Aging | Skilled Nursing Facility | 1424 Montclair Rd, Birmingham, AL 35210-2208 | 2006-08-30 |
| 1922111517 | Birmingham Nursing and Rehabilitation Center East,llc | Skilled Nursing Facility | 733 Mary Vann Ln, Birmingham, AL 35215-5046 | 2006-08-16 |
| 1982633632 | Ccrc Opco - Galleria Woods, LLC | Skilled Nursing Facility | 3850 Galleria Woods Dr, Birmingham, AL 35244-1098 | 2006-07-02 |
| 1275569873 | Ball Healthcare Eastview Inc | Skilled Nursing Facility | 7755 4th Ave S, Birmingham, AL 35206-4425 | 2006-06-24 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35214 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.