MORNINGSIDE OF FAYETTE, L.P. (NPI# 1639117633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639117633 |
| Entity Type | Organization |
| Organization Name | MORNINGSIDE OF FAYETTE, L.P. |
| Other Organization Name | MORNINGSIDE OF FAYETTE |
| Practice Address |
404 25th St Nw Fayette AL 35555-1129 |
| Mailing Address |
400 Centre St Newton MA 02458-2094 |
| Practice Telephone | 2059324003 |
| Practice Fax Number | 2059328636 |
| Mailing Telephone | 6177968387 |
| Mailing Fax Number | 6177968385 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2016-06-27 |
| Authorized Official Name | BRUCE J MACKEY JR. (PRESIDENT & CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6177968214 |
| Is Organization Subpart | Y |
| Parent Organization Name | MORNINGSIDE OF FAYETTE, L.P. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 11204 | AL | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Morningside of Fayette | Doing Business As Name - Organization |
| Street Address |
404 25TH ST NW |
| City | FAYETTE |
| State | AL |
| Zip Code | 35555-1129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982213021 | Brittany Nicole Pate | Pharmacist | 3186 Al-171 N, Fayette, AL 35555 | 2020-07-24 |
| 1942703020 | The Language Lab | Clinic/Center | 111 Columbus Street East, Fayette, AL 35555 | 2018-03-14 |
| 1407292709 | Lana Langley | Speech-Language Pathologist | 111 Columbus St E, Fayette, AL 35555 | 2013-05-14 |
| 1992096275 | Wendy Dawn Benton | Nurse Practitioner | 122 17th Court Ne, Fayette, AL 35555 | 2011-04-21 |
| 1699004929 | Patricia Lorraine Montgomery | Counselor | 123 2nd Avenue, Nw, Fayette, AL 35555 | 2009-12-16 |
| 1184826398 | Charles Thomas Webster | Pharmacist | 1116 2nd Ave Ne, Fayette Square Shopping Center, Fayette, AL 35555 | 2007-06-01 |
| 1114060381 | Fayette County Health Dept Adult Immun | Public Health or Welfare | 211 First Street, N.w., Fayette, AL 35555 | 2007-02-15 |
| 1356433064 | Dana Suzette Norris | Nurse Practitioner | 1653 Temple Ave N Ste 1, Fayette, AL 35555 | 2006-09-29 |
| 1992788871 | Air Evac Ems Inc | Ambulance | 108 21st St Ne, Fayette, AL 35555 | 2005-11-23 |
| 1255656112 | Debbie Kilgore Yerby | Pharmacist | 1716 Temple Avenue North, Fayette, AL 35555 | 2010-04-05 |
| Find all providers in zip 35555 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861608812 | Bristol Care, Inc. | Assisted Living Facility | 200 Groce St, Fayette, MO 65248-9813 | 2007-05-15 |
| 1104030378 | Prairie View Management, Inc. | Assisted Living Facility | 18569 Lane Road, Fayette, IA 52142-9525 | 2007-05-09 |
| 1285688416 | Hank Ventures Inc. | Assisted Living Facility | 542 State Route Dd, Fayette, MO 65248-9658 | 2006-05-20 |
| 1801889811 | Colonial Manors of Fayette, Inc | Assisted Living Facility | 100 Bolger Dr, Fayette, IA 52142-9762 | 2005-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851998686 | Wesley Gardens | Assisted Living Facility | 1555 Taylor Rd, Montgomery, AL 36117-3491 | 2020-10-05 |
| 1104430206 | Nalf Tuscaloosa, LLC | Assisted Living Facility | 5810 Rice Mine Rd Ne, Tuscaloosa, AL 35406-3260 | 2020-09-04 |
| 1649884743 | Nalf Prattville, LLC | Assisted Living Facility | 809 Green Springs Dr, Prattville, AL 36067-2136 | 2020-09-04 |
| 1073146858 | Rhcsc Montgomery I Health Holdings LLC | Assisted Living Facility | 3920 Antoinette Dr, Montgomery, AL 36111-2722 | 2020-02-19 |
| 1467992727 | Thrive At Jones Farm | Assisted Living Facility | 2238 Cecil Ashburn Dr Se, Huntsville, AL 35802 | 2017-03-06 |
| 1619332681 | South Alabama Healthcare, LLC | Assisted Living Facility | 6848 Gulf Shores Pkwy, Gulf Shores, AL 36542-2551 | 2015-12-17 |
| 1861871071 | Homeward Health Care, LLC | Assisted Living Facility | 5501 Scoutcreek Drive, Birmingham, AL 35244 | 2015-05-20 |
| 1710381710 | Seasons Health Care, LLC. | Assisted Living Facility | 3011 Augusta Trce Se, Hampton Cove, AL 35763-9319 | 2014-10-20 |
| 1720482938 | Southern Estates Assisted Living | Assisted Living Facility | 212 E Stewart Rd, Scottsboro, AL 35769-6406 | 2014-10-17 |
| 1477980951 | Ec Halcyon Operations, LLC | Assisted Living Facility | 1775 Halcyon Blvd, Montgomery, AL 36117-3487 | 2013-09-30 |
| 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.