YVETTE RENEE FULLER (NPI# 1740719566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740719566 |
| Entity Type | Individual |
| Full Name | YVETTE RENEE FULLER |
| Other Name | YVETTE RENEE FULLER |
| Credential | EXECUTIVE DIRECTOR |
| Practice Address |
102 Populus Dr Harvest AL 35749-4802 |
| Mailing Address |
1808 Scobee Ave Sw Decatur AL 35603-2407 |
| Practice Telephone | 2562210041 |
| Mailing Telephone | 2562210041 |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2017-06-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| 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 |
102 POPULUS DR |
| City | HARVEST |
| State | AL |
| Zip Code | 35749-4802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780108639 | Fuller Homes LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 102 Populus Dr, Harvest, AL 35749-4802 | 2017-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831565043 | David Grandison | Internal Medicine | 429 Quarter Mountain Rd, Harvest, AL 35749 | 2015-08-12 |
| 1447661525 | Charles Donovan Hooper | Nurse Practitioner | 28779 Nick Davis Rd., Limestone Correctional Facility, Harvest, AL 35749 | 2014-05-12 |
| 1598038598 | Kelli Thomas Cobb | Nurse Practitioner | 119 Trailing Vine, Harvest, AL 35749 | 2012-02-22 |
| 1346435534 | William Douglas Hobbs | General Practice | 28779 Nick Davis Road, Harvest, AL 35749 | 2007-09-11 |
| 1659564748 | Shraddha Shrestha | Pediatrics | 29869 Capshaw Road, Harvest, AL 35749 | 2007-08-22 |
| 1023102381 | Michael Kane Taylor | Family Medicine | 15024 E Limestone Rd, Ste F, Harvest, AL 35749 | 2006-10-03 |
| 1083078596 | Primary Care Pediatrics and Family Medicine, P.c | Family Medicine | 29869 Capshaw Road, Harvest, AL 35749 | 2016-04-11 |
| 1013484161 | Supportive Living LLC | Respite Care | 117 Oak Terrace Ln, Harvest, AL 35749-1202 | 2018-10-26 |
| 1659860211 | Shakendria Brown | Homemaker | 117 Oak Terrace Ln, Harvest, AL 35749-1202 | 2018-05-08 |
| 1447413364 | Publix Alabama LLC | Durable Medical Equipment & Medical Supplies | 5850 Highway 53, Harvest, AL 35749-4301 | 2008-07-10 |
| Find all providers in zip 35749 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1881930279 | J & S Homes, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 114 Corwin Dr, 114 Corwin Dr., Harvest, AL 35749-9300 | 2012-12-12 |
| 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 |
| 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 |
| 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 |
| 1427411354 | Independence Accessible Housing LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1401 11th St S, Birmingham, AL 35205-4613 | 2016-03-29 |
| 1700248226 | Xtraordinary People Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 404 Glennwood Rd Sw, Decatur, AL 35601-3932 | 2016-03-23 |
| 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.