FOUR WINDS/FOUR SEASONS ASSISTED LIVING HOMES,LLC (NPI# 1053686089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053686089 |
| Entity Type | Organization |
| Organization Name | FOUR WINDS/FOUR SEASONS ASSISTED LIVING HOMES,LLC |
| Practice Address |
2710 Deer Haven Dr Northport AL 35473-3048 |
| Practice Telephone | 2052924998 |
| Enumeration Date | 2012-03-08 |
| Last Update Date | 2012-03-08 |
| Authorized Official Name | MRS. MARY L KEMP (OWNER) |
| Authorized Official Telephone | 2052924998 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
| Street Address |
2710 DEER HAVEN DR |
| City | NORTHPORT |
| State | AL |
| Zip Code | 35473-3048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225305972 | Mary Louise Kemp | Community/Behavioral Health | 2710 Deer Haven Dr, Northport, AL 35473-3048 | 2011-11-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861002396 | Lacedric Crawford | Chore Provider | 13055 Garden Creek Lane, Northport, AL 35473 | 2020-08-10 |
| 1316585219 | Cerra Jordan Jackson | Family Medicine | 5710 Watermelon Road, Suite 600, Northport, AL 35473 | 2019-12-11 |
| 1033609748 | Kara Lynne Pate | Nurse Practitioner | 5710 Watermelon Rd Ste 600, Northport, AL 35473 | 2018-05-17 |
| 1134619059 | Vanessa Graves | Social Worker | 521 Energy Center Blvd Ste 1506, Northport, AL 35473 | 2018-05-16 |
| 1164930939 | Brandi Nail Hubbard | Family Medicine | 5004 Al-69, Northport, AL 35473 | 2018-01-16 |
| 1831554104 | Danielle Paulos | Pharmacist | 5137 Northcliff Dr, Northport, AL 35473 | 2015-12-30 |
| 1629497508 | Lauren Hanley | Nurse Practitioner | 4280 Watermelon Rd Ste 110, Northport, AL 35473 | 2014-04-08 |
| 1528372802 | Communication Advantage | Speech-Language Pathologist | 507 Energy Center Blvd Suite 301, West Al Speech Pathology, Northport, AL 35473 | 2010-07-29 |
| 1144467309 | Caroline J Day | Family Medicine | 5710 Watermelon Road, Suite 600, Northport, AL 35473 | 2009-01-09 |
| 1538311196 | Northridge Dialysis Center, LLC | Clinic/Center | 4400 Watermelon Road, Northport, AL 35473 | 2008-10-15 |
| Find all providers in zip 35473 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194183129 | Bryant Center Technical Center | Custodial Care Facility | 2003 N Gimon Cir, Mobile, AL 36605-2348 | 2016-02-04 |
| 1508241365 | Love Sitting and Service Care | Custodial Care Facility | 33 Ala Hwy 60, Arkon, AL 35441 | 2015-07-22 |
| 1295117125 | D Michele Jackson | Custodial Care Facility | 2620 River Haven Ln, Hoover, AL 35244-1273 | 2015-06-27 |
| 1487054300 | Divine Home Care | Custodial Care Facility | 802 Grant St Apt 3, Dothan, AL 36301-3807 | 2014-08-27 |
| 1629489380 | Comfort Healthcare Services LLC. | Custodial Care Facility | 623 Lewis Ave, Bessemer, AL 35020-6276 | 2014-05-15 |
| 1053662601 | Homeforheroes | Custodial Care Facility | 2024 Summer St Sw, Huntsville, AL 35805-3816 | 2012-09-23 |
| 1750663985 | Judy B. Haymon Homes, Inc. | Custodial Care Facility | 4693 Main Street-fyffe, Fyffe, AL 35971 | 2011-09-14 |
| 1942531256 | All In One Care Inc. | Custodial Care Facility | 1 23rd Ave Nw, Center Point, AL 35215-3445 | 2010-01-26 |
| 1245226430 | Fayette Medical Center | Custodial Care Facility | 1653 Temple Ave N, Fayette, AL 35555-1314 | 2005-09-22 |
| 1154352524 | Gulf Health Hospitals Dba Oakwood Center for Living | Custodial Care Facility | 2010 Medical Center Dr, Bay Minette, AL 36507-4163 | 2006-07-05 |
| 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.