MISSION OF MERCY, INC. (MOMS, INC.) (NPI# 1801331699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801331699 |
| Entity Type | Organization |
| Organization Name | MISSION OF MERCY, INC. (MOMS, INC.) |
| Practice Address |
414 E Tuscaloosa St Florence AL 35630-4726 |
| Mailing Address |
204 S Pine St Florence AL 35630-5532 |
| Practice Telephone | 2566174263 |
| Mailing Telephone | 2566174263 |
| Enumeration Date | 2017-01-03 |
| Last Update Date | 2017-01-03 |
| Authorized Official Name | MR. DAVID EARL MCCULLOUGH (VICE-PRESIDENT, CLINICAL DIRECTOR) |
| Authorized Official Telephone | 2566174263 |
| Authorized Official Credential | MA, ALC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 5095 | AL | Residential Treatment Facilities |
| Street Address |
414 E TUSCALOOSA ST |
| City | FLORENCE |
| State | AL |
| Zip Code | 35630-4726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760719280 | Joseph Patrick Nichols | Counselor | 414 E Tuscaloosa St, Florence, AL 35630-4726 | 2009-11-04 |
| 1245738178 | David Earl Mccullough | Counselor | 414 E Tuscaloosa St, Florence, AL 35630 | 2018-01-25 |
| 1720499502 | Tennessee Valley Drug Testing Management | Community/Behavioral Health | 414 E Tuscaloosa St, Florence, AL 35630-4726 | 2014-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346880531 | Rachel E Belue | Counselor | 409 N. Court Street, Florence, AL 35630 | 2020-01-15 |
| 1154857746 | Danish Henry | Internal Medicine | North Alabama Medical Center, 1701 Veterans Dr, Florence, AL 35630 | 2017-05-03 |
| 1396118261 | Three Oaks Pharmacy LLC | Pharmacy | 861 Cox Creek Parkway, Florence, AL 35630 | 2015-11-02 |
| 1235501891 | Wellness Walk-in Clinic, LLC | Nurse Practitioner | 2612 Hough Road, Florence, AL 35630 | 2015-10-22 |
| 1972995207 | Elyse Angel | Pharmacist | 109 East Dr Hicks Blvd, Florence, AL 35630 | 2015-02-24 |
| 1750772380 | Whitlee Laina Kelley | Case Manager/Care Coordinator | 112 Titan Drive, Florence, AL 35630 | 2015-02-18 |
| 1942612155 | Hillary Jean Delarosa | Internal Medicine | 162 Titan Drive, Florence, AL 35630 | 2014-05-22 |
| 1952723678 | Sharron M Boatwright | Nurse Practitioner | 1949 Florence Boulevard, Occupational Health Center LLC, Florence, AL 35630 | 2014-01-15 |
| 1194160523 | Caryn Barnett | Physical Therapist | 412 S. Court Street, Suite 403, Florence, AL 35630 | 2013-04-29 |
| 1396074662 | Heather White Bryant | Counselor | 118 East Mobile St, Suite 106, Florence, AL 35630 | 2009-12-16 |
| Find all providers in zip 35630 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437698081 | Sober Living Solutions | Substance Abuse Rehabilitation Facility | 2528 W Palmetto St, Florence, SC 29501-5926 | 2017-02-15 |
| 1235554395 | Owl's Club International | Substance Abuse Rehabilitation Facility | 2528 W Palmetto St, Florence, SC 29501-5926 | 2014-02-26 |
| 1477997898 | Casey Watts | Substance Abuse Rehabilitation Facility | 1430 S Cashua Dr, Florence, SC 29501-6323 | 2013-04-29 |
| 1720422140 | Ryan G Koon | Substance Abuse Rehabilitation Facility | 1430 S Cashua Dr, Florence, SC 29501-6323 | 2013-04-29 |
| 1164570503 | Addiction & Mental Health Services, LLC | Substance Abuse Rehabilitation Facility | 303 E College St, Florence, AL 35630-5709 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508344672 | Client Care Continuum LLC | Substance Abuse Rehabilitation Facility | 200 County Road 3941, Arlay, AL 35541 | 2018-08-01 |
| 1295223527 | Reclamation Center of Alabama, Inc | Substance Abuse Rehabilitation Facility | 4720 Woodmere Blvd, Montgomery, AL 36106-3065 | 2018-04-23 |
| 1790023919 | New Beginnings Womens Substance Abuse Treatment, Inc. | Substance Abuse Rehabilitation Facility | 7430 Theodore Dawes Rd, Theodore, AL 36582-9474 | 2013-01-23 |
| 1922367481 | The Village | Substance Abuse Rehabilitation Facility | 507 Whitmore Dr, Birmingham, AL 35221-3003 | 2012-05-03 |
| 1518243898 | New Centurions, Inc. | Substance Abuse Rehabilitation Facility | 102 Centurion Way, Gadsden, AL 35904-5200 | 2011-10-31 |
| 1548552391 | Serenity Care Inc | Substance Abuse Rehabilitation Facility | 1951 Dawes Rd, Mobile, AL 36695-8355 | 2011-05-12 |
| 1295031524 | S E Intervention Group, Inc | Substance Abuse Rehabilitation Facility | 101 N Herring St, Dothan, AL 36303-4064 | 2011-02-03 |
| 1164676391 | The Pathfinder, Inc. | Substance Abuse Rehabilitation Facility | 3104 Ivy Ave Sw, Huntsville, AL 35805-4639 | 2008-11-14 |
| 1720234396 | The Lighthouse of Tallapoosa Co. Inc. | Substance Abuse Rehabilitation Facility | 36 Franklin St, Alexander City, AL 35010-1913 | 2008-08-14 |
| 1891951844 | Second Choice, Inc. | Substance Abuse Rehabilitation Facility | 552 Holcombe Ave, Mobile, AL 36606-1573 | 2008-07-30 |
| 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.