MEADOWS PLACE GROUP HOME INC (NPI# 1063910552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063910552 |
| Entity Type | Organization |
| Organization Name | MEADOWS PLACE GROUP HOME INC |
| Practice Address |
3220 Meadow Ln Mobile AL 36618-4638 |
| Practice Telephone | 2512091894 |
| Practice Fax Number | 2514590991 |
| Mailing Telephone | 2512091894 |
| Mailing Fax Number | 2514590991 |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2018-01-30 |
| Authorized Official Name | MRS. ALTHELDA CAMPBELL STALLWORTH (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2512091894 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEADOWS PLACE GROUP HOME INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
3220 MEADOW LN |
| City | MOBILE |
| State | AL |
| Zip Code | 36618-4638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154833499 | Althelda Campbell Stallworth | Psychologist | 3220 Meadow Ln, Mobile, AL 36618-4638 | 2017-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114319944 | Gina Deering | Pharmacist | 5651 Moffett Rd, Suite C, Mobile, AL 36618 | 2015-03-03 |
| 1245510403 | Thuy-ngan Thi Duong | Pharmacist | 5651 Moffett Road, Mobile, AL 36618 | 2011-08-19 |
| 1679852586 | Innovative Prosthetic Care, LLC | Prosthetic/Orthotic Supplier | 1109 Wi-65 Service Rd N, Mobile, AL 36618 | 2011-08-09 |
| 1649454695 | Louis James Naman | Dentist | 4137 Moffelt Rd., Mobile, AL 36618 | 2007-12-27 |
| 1235254277 | Amie G Webb | Pharmacist | 5651 C Moffat Rd, Mobile, AL 36618 | 2007-03-20 |
| 1659431682 | Gerald Edward Berger | Dentist | 5216 Overlook Road, Mobile, AL 36618 | 2006-12-11 |
| 1780779314 | Tammy Dubuc | Pharmacist | 5651 C Moffet Road, Mobile, AL 36618 | 2006-10-03 |
| 1245330711 | Dana B Lambert | Pharmacist | 5651-c Moffet Rd Winn Dixie 578, Mobile, AL 36618 | 2006-09-25 |
| 1861444689 | Michael Carl Madden Sr. | Family Medicine | 7505 Moffett Rd, Mobile, AL 36618 | 2006-05-17 |
| 1518518968 | Daniel Loper | Clinical Medical Laboratory | 3750 Moffett Rd, Mobile, AL 36618-1208 | 2019-09-26 |
| Find all providers in zip 36618 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285141267 | Peters Comfort Livin, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2300 Bennett Dr, Mobile, AL 36618-1538 | 2017-12-29 |
| 1760904338 | Elite Residential, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1554 Basil Street, Mobile, AL 36603 | 2017-07-14 |
| 1851660781 | Omega Supported Living Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 404 Westwood St, Mobile, AL 36606-6504 | 2011-12-21 |
| 1952582181 | Burrowes Group Community & Economic Development, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1610 Roach St, Mobile, AL 36617-1819 | 2007-11-15 |
| 1306982673 | Volunteers of America | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 600 Azalea Rd, Mobile, AL 36609-1528 | 2007-01-30 |
| 1609977503 | New Way Out, Corp. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 712 Oak Circle Dr E, Mobile, AL 36609-4222 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063019313 | Arc of Dekalb County | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 201 Grand Ave Sw, Fort Payne, AL 35967-1917 | 2020-10-08 |
| 1477103976 | Pamela Francene Battiste | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 432 Gilbert St, Prichard, AL 36610-4452 | 2019-09-17 |
| 1336700707 | Lana D Brown | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1354 Forrest Ave, Gadsden, AL 35901-3437 | 2019-06-26 |
| 1053770180 | Just As Family Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3018 15th Street Rd, Hueytown, AL 35023-3616 | 2016-02-17 |
| 1780049874 | Lifecare Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1715 S Shelton Beach Rd, Eight Mile, AL 36613-3426 | 2015-12-16 |
| 1346629508 | Adept Plus, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 300 Clinton Ave W Ste 25, Huntsville, AL 35801-5530 | 2015-05-21 |
| 1386087138 | Rainbow Omega, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 101 Horizon Dr, Eastaboga, AL 36260-7310 | 2013-04-11 |
| 1841537636 | K & D Group Home, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1702 Dianne St Sw, Decatur, AL 35601-4750 | 2013-01-14 |
| 1124397963 | Blackwell Foster Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 743 County Road 18, Fyffe, AL 35971-3907 | 2011-12-23 |
| 1417230269 | T & N Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 34953 Al Hwy 75, Fyffe, AL 35971 | 2011-09-27 |
| Find all providers with the same taxonomy | ||||
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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.