NPI 1366498941 · live from the CMS NPI Registry
East Glen, LLC
Skilled Nursing Facility in Birmingham, AL. National Provider Identifier 1366498941, active.
NPI record
| NPI | 1366498941 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 53 Medical Park Drive, East, Birmingham, AL 35235 |
| Practice phone | 205-836-4231 |
| Mailing address | 600 Corporate Pkwy, Suite 100, Birmingham, AL 35242 |
| Enumerated | May 26, 2006 |
| Last updated | November 12, 2024 |
| Authorized official | Nicholas Renda, Evp/Cfo |
| Other names | East Glen |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | 12566 (AL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.