JACKSON COUNTY COMMUNITY SERVICES, INC. (NPI# 1972886729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972886729 |
| Entity Type | Organization |
| Organization Name | JACKSON COUNTY COMMUNITY SERVICES, INC. |
| Practice Address |
4693 Main Street-powell Fyffe AL 35971 |
| Practice Telephone | 2566388479 |
| Mailing Telephone | 2566388479 |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2011-09-27 |
| Authorized Official Name | CHERYL OGLE (DIRECTOR) |
| Authorized Official Telephone | 2566388479 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
4693 MAIN STREET-POWELL |
| City | FYFFE |
| State | AL |
| Zip Code | 35971 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568745321 | North Alabama Family Services, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4693 Main Street-powell, Fyffe, AL 35971 | 2011-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417230269 | T & N Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 34953 Al Hwy 75, Fyffe, AL 35971 | 2011-09-27 |
| 1316220163 | Brook Haven Home, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1580 County Road 43, Fyffe, AL 35971 | 2011-09-27 |
| 1750663985 | Judy B. Haymon Homes, Inc. | Custodial Care Facility | 4693 Main Street-fyffe, Fyffe, AL 35971 | 2011-09-14 |
| 1427231083 | Blackwell's Way | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4140 County Rd 43, Fyffe, AL 35971 | 2007-12-06 |
| 1023175270 | Calvin Oneal Sanders Jr. | Dentist | 1516 Main St, Fyffe, AL 35971 | 2007-01-03 |
| 1043366800 | Fyffe Pharmacy, LLC | Pharmacy | 44 Blackwell St., Fyffe, AL 35971-0067 | 2007-01-26 |
| 1639122542 | Pharmacy Partners LLC | Pharmacy | 1248 Main St, Fyffe, AL 35971-3471 | 2006-05-19 |
| 1457906943 | Tiffany Simpson Mcfall | Pharmacist | 1248 Main St, Fyffe, AL 35971-3471 | 2019-08-02 |
| 1548749211 | Ashley Bryant Holcomb | Pharmacist | 1248 Main St, Fyffe, AL 35971-3471 | 2018-08-13 |
| 1134163520 | Reginald R Jones | Pharmacist | 1248 Main St, Fyffe, AL 35971-3471 | 2006-06-15 |
| Find all providers in zip 35971 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124397963 | Blackwell Foster Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 743 County Road 18, Fyffe, AL 35971-3907 | 2011-12-23 |
| 1417230269 | T & N Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 34953 Al Hwy 75, Fyffe, AL 35971 | 2011-09-27 |
| 1316220163 | Brook Haven Home, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1580 County Road 43, Fyffe, AL 35971 | 2011-09-27 |
| 1568745321 | North Alabama Family Services, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4693 Main Street-powell, Fyffe, AL 35971 | 2011-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063019313 | Arc of Dekalb County | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 201 Grand Ave Sw, Fort Payne, AL 35967-1917 | 2020-10-08 |
| 1477103976 | Pamela Francene Battiste | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 432 Gilbert St, Prichard, AL 36610-4452 | 2019-09-17 |
| 1336700707 | Lana D Brown | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1354 Forrest Ave, Gadsden, AL 35901-3437 | 2019-06-26 |
| 1285141267 | Peters Comfort Livin, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2300 Bennett Dr, Mobile, AL 36618-1538 | 2017-12-29 |
| 1760904338 | Elite Residential, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1554 Basil Street, Mobile, AL 36603 | 2017-07-14 |
| 1053770180 | Just As Family Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3018 15th Street Rd, Hueytown, AL 35023-3616 | 2016-02-17 |
| 1780049874 | Lifecare Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1715 S Shelton Beach Rd, Eight Mile, AL 36613-3426 | 2015-12-16 |
| 1346629508 | Adept Plus, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 300 Clinton Ave W Ste 25, Huntsville, AL 35801-5530 | 2015-05-21 |
| 1386087138 | Rainbow Omega, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 101 Horizon Dr, Eastaboga, AL 36260-7310 | 2013-04-11 |
| 1841537636 | K & D Group Home, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1702 Dianne St Sw, Decatur, AL 35601-4750 | 2013-01-14 |
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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.