MONTELISSA FULL LIFE RESOURCES, INC (NPI# 1063758282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063758282 |
| Entity Type | Organization |
| Organization Name | MONTELISSA FULL LIFE RESOURCES, INC |
| Other Organization Name | MONTELISSA RESIDENTIAL |
| Practice Address |
1008 Clarkview St Sw Decatur AL 35601-6204 |
| Practice Telephone | 2566861411 |
| Mailing Telephone | 2566861411 |
| Enumeration Date | 2012-12-15 |
| Last Update Date | 2012-12-15 |
| Authorized Official Name | MS. DENISE JOHNSON MASON (CEO) |
| Authorized Official Telephone | 2563453996 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302F00000X | Exclusive Provider Organization | Managed Care Organizations |
| Other Name | Type Code |
|---|---|
| Montelissa Residential | Doing Business As Name - Organization |
| Street Address |
1008 CLARKVIEW ST SW |
| City | DECATUR |
| State | AL |
| Zip Code | 35601-6204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376000679 | Monica Dawn Ross | Counselor | 106 Lee St. Ne, Suite C, Decatur, AL 35601 | 2019-02-23 |
| 1063950319 | Samantha Elizabeth Pickett | Nurse Practitioner | 1115 Beltline Rd Se, Ste 400, Decatur, AL 35601 | 2017-02-07 |
| 1497208250 | Beronica Goodwin | Home Health Aide | 1102b Suite #2 4th Ave Se, Decatur, AL 35601 | 2016-07-28 |
| 1770957177 | Xochitl Dupre | Obstetrics & Gynecology | 1874 Beltline Road Sw, Suite 105, Decatur, AL 35601 | 2015-11-23 |
| 1104224708 | River City Psychiatry, Inc. | Community/Behavioral Health | 115 Johnston Street, Se, Suite 202, Decatur, AL 35601 | 2014-12-12 |
| 1760882690 | Derrick Aaron Randolph | Registered Nurse | 1207 7th St S.e., Decatur/morgan Hospital - Parkway Campus, Decatur, GA 35601 | 2014-08-28 |
| 1427465434 | Martha Read | Family Medicine | 2208 Danville Rd Sw Ste A, Decatur, AL 35601 | 2014-07-22 |
| 1205242948 | Pure Heart Home Care of Alabama, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 107 B 14th Street Sw, Decatur, AL 35601 | 2014-07-02 |
| 1720492242 | Christopher John Phillips | Emergency Medicine | 1201 7th Street Se, Decatur, AL 35601 | 2014-06-12 |
| 1366794711 | Complete Dental Decatur LLC | Dentist | 1241 Point Mallard Parkway, Suite. 105, Decatur, AL 35601 | 2012-10-10 |
| Find all providers in zip 35601 | ||||
| Taxonomy Code | 302F00000X |
| Grouping | Managed Care Organizations |
| Classification | Exclusive Provider Organization |
| (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063852630 | Christy Latasha Fuller | Exclusive Provider Organization | 2288 Miriam Ln, Decatur, GA 30032-5551 | 2013-06-27 |
| 1538405683 | R&r Grouphomes Inc | Exclusive Provider Organization | 1502 Faye St Sw, 1502 Faye St Sw, Decatur, AL 35601-2731 | 2012-12-18 |
| 1871877159 | Skates-n-motion | Exclusive Provider Organization | 5878 Covington Hwy Ste E, Decatur, GA 30035-3745 | 2011-10-05 |
| 1124209481 | Jefrey D Lieberman Md | Exclusive Provider Organization | 2712 N Decatur Rd, Decatur, GA 30033-5910 | 2007-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710595202 | Solidarity Medical Care | Exclusive Provider Organization | 4024 Windswept Dr, Madison, AL 35757-7927 | 2020-07-21 |
| 1649828328 | Sixfourthree, LLC | Exclusive Provider Organization | 8490 Highway 72 W Ste 120, Madison, AL 35758-9575 | 2019-08-27 |
| 1245720473 | Jonah's Place Counseling, LLC | Exclusive Provider Organization | 28256 State Highway 75 Ste C, Oneonta, AL 35121-1659 | 2018-05-14 |
| 1427587716 | Helton Vision Associates,p.c. | Exclusive Provider Organization | 3016 S Alabama Ave, Monroeville, AL 36460-5600 | 2017-06-08 |
| 1093253668 | Infinity Infusion Nursing LLC | Exclusive Provider Organization | 4193 Saddlewood Dr, Saraland, AL 36571-9535 | 2017-02-03 |
| 1346613700 | Royshanda Smith LLC | Exclusive Provider Organization | 120 N Lafayette St Ste A, Mobile, AL 36604-2258 | 2015-11-07 |
| 1164825915 | Hcrc, Inc - Home Health | Exclusive Provider Organization | 12094 Olde South Ln, Mc Calla, AL 35111-2331 | 2014-10-07 |
| 1649542416 | Hnh Immunizations Inc | Exclusive Provider Organization | 326 Prairie Street North, Union Springs, AL 36089 | 2012-02-08 |
| 1962793893 | Dandridge Dental PC | Exclusive Provider Organization | 1435 Ross Clark Cir, Suite A-1, Dothan, AL 36301-4744 | 2011-04-26 |
| 1356678858 | Renaissance Residency | Exclusive Provider Organization | 1947 Summer Place Dr W, Mobile, AL 36618-3237 | 2009-11-04 |
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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.