Provider Demographics
NPI:1033215660
Name:VESTAVIA HILLS LTD. AN ALABAMA LIMITED PARTNERSHIP
Entity Type:Organization
Organization Name:VESTAVIA HILLS LTD. AN ALABAMA LIMITED PARTNERSHIP
Other - Org Name:MOUNT ROYAL TOWERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:EMERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-778-1832
Mailing Address - Street 1:9619 CHESAPEAKE DR
Mailing Address - Street 2:SUITE 103
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-1368
Mailing Address - Country:US
Mailing Address - Phone:858-565-4424
Mailing Address - Fax:858-300-9944
Practice Address - Street 1:300 ROYAL TOWER DR
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-6865
Practice Address - Country:US
Practice Address - Phone:205-870-5666
Practice Address - Fax:205-871-3111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-14
Last Update Date:2018-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALN3742314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA015455Medicare Oscar/Certification