PARKER ADULT FOSTER HOME, INC. (NPI# 1063549103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063549103 |
Entity Type | Organization |
Organization Name | PARKER ADULT FOSTER HOME, INC. |
Practice Address |
671 Stanton Rd Mobile AL 36617-2205 |
Mailing Address |
Po Box 40847 Mobile AL 36640-0847 |
Practice Telephone | 2514567100 |
Practice Fax Number | 2514567146 |
Mailing Telephone | 2514567100 |
Mailing Fax Number | 2514567146 |
Enumeration Date | 2007-02-27 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MRS. CAROL PARKER (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 2514567100 |
Authorized Official Credential | SOCIAL WORKER |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 119223 | AL | Residential Treatment Facilities |
Street Address |
671 STANTON RD |
City | MOBILE |
State | AL |
Zip Code | 36617-2205 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871118760 | Travis Berry | Student in an Organized Health Care Education/Training Program | 2451 University Hospital Dr., Moorer Bldg. Room 120, Mobile, AL 36617 | 2020-06-16 |
1164064978 | Crystal Aerin Deweever | Counselor | 2400 Gordon Smith Dr., Mobile, AL 36617 | 2019-10-14 |
1871145938 | Sagar Kumar | Student in an Organized Health Care Education/Training Program | 2451 University Hospital Dr. Rm 714, Mobile, AL 36617 | 2019-07-09 |
1639630882 | Sarah Anderson | Student in an Organized Health Care Education/Training Program | 2451 University Hospital Drive, Moorer Bldg. Room 120, Mobile, AL 36617 | 2019-03-29 |
1215415120 | Fnu Sameeta | Student in an Organized Health Care Education/Training Program | 2451 Usa Med Center Drive, Moorer Building Room 120, Mobile, AL 36617 | 2018-08-02 |
1659857670 | Sara Roberta Avalos Hernandez | Student in an Organized Health Care Education/Training Program | 2451 Usa Medical Center Drive, Moorer Building, Rm 120, Mobile, AL 36617 | 2018-07-12 |
1669978359 | Colin Thomas Buckley | Student in an Organized Health Care Education/Training Program | 2451 Usa Medical Center Dr. Rm 714, Mobile, AL 36617 | 2018-04-02 |
1336644590 | Shuo Shawn Liu | Student in an Organized Health Care Education/Training Program | 2451 Usa Medical Center Dr., Moorer Bldg. Room 120, Mobile, AL 36617 | 2018-03-28 |
1609308741 | Kulwant Singh Bath | Student in an Organized Health Care Education/Training Program | 2451 Fillingim St Res Box 7th Floor, Mobile, AL 36617 | 2017-03-29 |
1780115238 | Lindsay Dianne Williams | Student in an Organized Health Care Education/Training Program | 2451 Fillingim St., Mst 709, Mobile, AL 36617 | 2017-03-27 |
Find all providers in zip 36617 |
Taxonomy Code | 320900000X |
Grouping | Residential Treatment Facilities |
Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972021970 | Volunteers of America Southeast | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1204 Hillcrest Rd, Mobile, AL 36695-3930 | 2017-08-30 |
1851813422 | Ericka Letoindia Betton | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1554 Basil St, Mobile, AL 36603-5019 | 2017-07-14 |
1275945149 | George Lee Love | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13321 August Dr, Mobile, AL 36695-8595 | 2014-05-27 |
1063838878 | Shirley Mcmillan Jackson | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2117 Luckner Ct, Mobile, AL 36618-2618 | 2014-03-17 |
1477975936 | Prestige Supervised Community Living Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1725 Northview Dr, Mobile, AL 36618-1801 | 2014-01-16 |
1992090666 | Robinson's Residential, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4954 Ringold Dr S, Mobile, AL 36693-3678 | 2011-06-10 |
1871885517 | Lifetime Healthcare Incorporated | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2201 Robinson Dr, Mobile, AL 36605-5137 | 2011-05-13 |
1518280668 | Northview Health Services, L.l.c | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1640 Northview Dr, Mobile, AL 36618-1804 | 2010-03-03 |
1952437493 | Nobles Group Homes, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2420 S Shelton Beach Rd, Mobile, AL 36613-3415 | 2007-02-27 |
1932252350 | Scott Residential, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 115 N Catherine St, Mobile, AL 36604-1303 | 2007-01-19 |
Find all providers in MOBILE |
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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.