MORGAN COUNTY SYSTEM OF SERVICES, INC.


Address: 3402 Tanglewood Dr Sw, Decatur, AL 35603-1332
Phone: 2563508434

MORGAN COUNTY SYSTEM OF SERVICES, INC. (NPI# 1699177295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699177295
Entity Type Organization
Organization Name MORGAN COUNTY SYSTEM OF SERVICES, INC.
Other Organization Name SOS
Practice Address 3402 Tanglewood Dr Sw
Decatur
AL 35603-1332
Mailing Address Po Box 1124
Decatur
AL 35602-1124
Practice Telephone 2563508434
Practice Fax Number 2563508534
Mailing Telephone 2563508434
Mailing Fax Number 2563508534
Enumeration Date 2014-09-25
Last Update Date 2014-09-25
Authorized Official Name DR. SARA BRUCE HALL (CEO)
Authorized Official Telephone 2563508434
Authorized Official Credential PHD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320800000X Community Based Residential Treatment Facility, Mental Illness AL Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
AL 1194075085 05

Other Provider/Organization Names

Other Name Type Code
SOS Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1336542521 Morgan County System of Services, Inc. Community/Behavioral Health 2531 Highway 20 W, Decatur, AL 35601-7519 2014-10-01
1194075085 Morgan County System of Services, Inc. Community Based Residential Treatment Facility, Mental Illness 1611 Church St Se, Decatur, AL 35601-3401 2012-09-18

Office Location

Street Address 3402 TANGLEWOOD DR SW
City DECATUR
State AL
Zip Code 35603-1332

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NPI Name Taxonomy Address Enumeration
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1700305372 Jessica Skarda Nurse Practitioner 1577-1631 Kathy Ln Sw, Decatur, AL 35603 2017-09-14
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1235392689 David Gerardo Barraza Nurse Practitioner 2422 Donville Road, Suite E, Decatur, AL 35603 2008-07-07
1164629002 Rachel E. Kennedy Family Medicine 2422 Danville Rd., Suite E, Decatur, AL 35603 2007-07-02
1558583708 Active Physical Therapy, Inc. Clinic/Center 2424 Danville Rd. Sw, Ste M, Decatur, AL 35603 2007-05-03
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1447326442 Joseph R Dupper Podiatrist 2506 Danville Rd Sw Suite 204, Decatur, AL 35603 2006-11-28
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Taxonomy Information

Taxonomy Code 320800000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment Facility, Mental Illness

Taxonomy Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Notes: [7/1/2003: new]

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NPI Name Taxonomy Address Enumeration
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1184059107 We The Family Wellness Home Community Based Residential Treatment Facility, Mental Illness 1322 Columbia Dr, Decatur, GA 30032-2826 2013-09-10
1194075085 Morgan County System of Services, Inc. Community Based Residential Treatment Facility, Mental Illness 1611 Church St Se, Decatur, AL 35601-3401 2012-09-18
1922353549 Adolescent Advocacy Center Community Based Residential Treatment Facility, Mental Illness 312 Rimington Ln, Decatur, GA 30030-2134 2012-07-19
1477727808 Heritage Behavioral Health Center Community Based Residential Treatment Facility, Mental Illness 788 E Clay St, Decatur, IL 62521-2613 2008-04-16
1922277045 Heritage Behavioral Health Center Community Based Residential Treatment Facility, Mental Illness 1421 E Orchard St, Decatur, IL 62521-1459 2008-02-22
1659544872 Heritage Behavioral Health Center Community Based Residential Treatment Facility, Mental Illness 631 W Main St, Decatur, IL 62522-2411 2008-04-09

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NPI Name Taxonomy Address Enumeration
1497229173 Compassionate Homes LLC Community Based Residential Treatment Facility, Mental Illness 1904 Gloria York Ave, Mobile, AL 36617-3409 2019-01-16
1033696869 Joseph J Fountain Community Based Residential Treatment Facility, Mental Illness 127 Daisy St, Monroeville, AL 36460-2609 2018-07-24
1265887632 Inheritance House Community Based Residential Treatment Facility, Mental Illness 2305 Montevallo Park Road, Birmingham, AL 35223 2016-05-04
1275996290 Flowing Brook Ministries Community Based Residential Treatment Facility, Mental Illness 2421 Presidents Dr Ste B-21, Montgomery, AL 36116-1632 2016-03-29
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1447418363 Nobles Group Homes Inc Community Based Residential Treatment Facility, Mental Illness 1313 Springhill Ave, Mobile, AL 36604-3202 2008-05-28
1154428423 Volunteers of America North Alabama, Inc Community Based Residential Treatment Facility, Mental Illness 555 Sparkman Dr Nw, Suite 454, Huntsville, AL 35816-3418 2006-09-20
1619368875 Lee County Youth Development Center Community Based Residential Treatment Facility, Mental Illness 1109 Spring Dr, Opelika, AL 36801-5345 2015-02-10
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1033489612 Jemison Family Chiropractic, Inc. Community Based Residential Treatment Facility, Mental Illness 24982 Us Highway 31, Jemison, AL 35085-7830 2012-01-12
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Competitor

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City DECATUR
Zip Code 35603

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Dataset Information

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.

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