BALDWIN COUNTY GIRLS RESIDENTIAL WILDERNESS PROGRAM (NPI# 1669640041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669640041 |
Entity Type | Organization |
Organization Name | BALDWIN COUNTY GIRLS RESIDENTIAL WILDERNESS PROGRAM |
Practice Address |
23750 Ewing Farm Road Atmore AL 36502-0000 |
Practice Telephone | 2515801860 |
Practice Fax Number | 2519370391 |
Mailing Telephone | 2515801860 |
Mailing Fax Number | 2519370391 |
Enumeration Date | 2008-02-19 |
Last Update Date | 2008-04-20 |
Authorized Official Name | MR. WILLIAM E FORD (DIRECTOR) |
Authorized Official Telephone | 2515801860 |
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 | ========= | AL | Residential Treatment Facilities |
Street Address |
23750 EWING FARM ROAD |
City | ATMORE |
State | AL |
Zip Code | 36502-0000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669879144 | Baldwin County Commission | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 23750 Ewing Farm Road, Atmore, AL 36502-0000 | 2014-11-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740895200 | Escambia County Alabama Community Hospitals, Inc | Family Medicine | 609 E. Laurel Street, Atmore, AL 36502 | 2020-09-11 |
1932331485 | Buckley and Buckley Family Dentistry | Dentist | 604 E Nashville Ave, Atmore, AL 36502 | 2009-08-18 |
1932343803 | Melanie Showalter Killam | Physical Therapist | 715 East Laurel Street, Atmore Nursing Center, Atmore, AL 36502 | 2009-04-23 |
1326285040 | Gene Allen West | Dentist | 109 7th Avenue, Atmore, AL 36502 | 2009-01-16 |
1134231392 | Paul J Dirkes | Dentist | 5811 Jack Springs Road, Atmore, AL 36502 | 2006-08-31 |
1538111893 | Atmore Community Home Care, LLC | Home Health | 121-c Lindberg Avenue, Atmore, AL 36502 | 2006-05-16 |
1790740793 | Renal Treatment Centers Southeast Lp | Clinic/Center | 807 E Craig St, Atmore, AL 36502 | 2006-04-20 |
1386250710 | Lydia M Bonner | Nurse Practitioner | 609 E. Laurel Street, Atmore, AL 36502 | 2020-09-21 |
1508885732 | Health Plus Chiropractic Center LLC | Chiropractor | 200 N Main St, Atmore, AL 36502 | 2006-07-19 |
1588742928 | Rodney S Owens | Chiropractor | 410 Medical Park Dr., Atmore, AL 36502-0000 | 2006-11-02 |
Find all providers in zip 36502 |
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 |
---|---|---|---|---|
1669879144 | Baldwin County Commission | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 23750 Ewing Farm Road, Atmore, AL 36502-0000 | 2014-11-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184236721 | Nekiya Jones | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 417 Fox Run Lane, Pell City, AL 35125-9366 | 2020-08-17 |
1952926230 | Ouicare LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 117 E Forest Ave, Troy, AL 36081-4501 | 2020-06-11 |
1194352120 | Montessori Mental Health LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 209 Glen Meadow Ln, Harvest, AL 35749-8995 | 2020-03-27 |
1467098681 | Fhl Group Home,llc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12218 Spring Rd, Tanner, AL 35671-3214 | 2019-11-22 |
1356858930 | Latoya Mckinstry | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3914 Watermelon Rd, Northport, AL 35473-5184 | 2018-01-04 |
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 |
1316463144 | Answered Prayer Home Care Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4101 Wall St Ste C, Montgomery, AL 36106-3724 | 2017-08-14 |
1851813422 | Ericka Letoindia Betton | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1554 Basil St, Mobile, AL 36603-5019 | 2017-07-14 |
1740719566 | Yvette Renee Fuller | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 102 Populus Dr, Harvest, AL 35749-4802 | 2017-06-06 |
1790134757 | Three Folds Care Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6336 Taylor Ridge Rd, Montgomery, AL 36116-6507 | 2016-06-09 |
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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.