PETERS COMFORT LIVIN, LLC (NPI# 1285141267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285141267 |
| Entity Type | Organization |
| Organization Name | PETERS COMFORT LIVIN, LLC |
| Other Organization Name | PETERS COMFORT LIVIN, LLC |
| Practice Address |
2300 Bennett Dr Mobile AL 36618-1538 |
| Mailing Address |
Po Box 13474 Mobile AL 36663-0474 |
| Practice Telephone | 2517514169 |
| Practice Fax Number | 2514501153 |
| Mailing Telephone | 2527514169 |
| Mailing Fax Number | 2514501153 |
| Enumeration Date | 2017-12-29 |
| Last Update Date | 2017-12-29 |
| Authorized Official Name | MRS. ANGELA PETERS (EXEXUTIVE DIRECTOR) |
| Authorized Official Telephone | 2517514169 |
| Authorized Official Credential | RN |
| 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 |
| Other Name | Type Code |
|---|---|
| Peters Comfort Livin, LLC | Former Legal Business Name - Organization |
| Street Address |
2300 BENNETT DR |
| City | MOBILE |
| State | AL |
| Zip Code | 36618-1538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235759598 | Joel Harvey | Behavioral Analyst | 2300 Bennett Dr, Mobile, AL 36618-1538 | 2020-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114319944 | Gina Deering | Pharmacist | 5651 Moffett Rd, Suite C, Mobile, AL 36618 | 2015-03-03 |
| 1245510403 | Thuy-ngan Thi Duong | Pharmacist | 5651 Moffett Road, Mobile, AL 36618 | 2011-08-19 |
| 1679852586 | Innovative Prosthetic Care, LLC | Prosthetic/Orthotic Supplier | 1109 Wi-65 Service Rd N, Mobile, AL 36618 | 2011-08-09 |
| 1649454695 | Louis James Naman | Dentist | 4137 Moffelt Rd., Mobile, AL 36618 | 2007-12-27 |
| 1235254277 | Amie G Webb | Pharmacist | 5651 C Moffat Rd, Mobile, AL 36618 | 2007-03-20 |
| 1659431682 | Gerald Edward Berger | Dentist | 5216 Overlook Road, Mobile, AL 36618 | 2006-12-11 |
| 1780779314 | Tammy Dubuc | Pharmacist | 5651 C Moffet Road, Mobile, AL 36618 | 2006-10-03 |
| 1245330711 | Dana B Lambert | Pharmacist | 5651-c Moffet Rd Winn Dixie 578, Mobile, AL 36618 | 2006-09-25 |
| 1861444689 | Michael Carl Madden Sr. | Family Medicine | 7505 Moffett Rd, Mobile, AL 36618 | 2006-05-17 |
| 1518518968 | Daniel Loper | Clinical Medical Laboratory | 3750 Moffett Rd, Mobile, AL 36618-1208 | 2019-09-26 |
| Find all providers in zip 36618 | ||||
| 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 |
|---|---|---|---|---|
| 1760904338 | Elite Residential, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1554 Basil Street, Mobile, AL 36603 | 2017-07-14 |
| 1851660781 | Omega Supported Living Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 404 Westwood St, Mobile, AL 36606-6504 | 2011-12-21 |
| 1952582181 | Burrowes Group Community & Economic Development, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1610 Roach St, Mobile, AL 36617-1819 | 2007-11-15 |
| 1306982673 | Volunteers of America | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 600 Azalea Rd, Mobile, AL 36609-1528 | 2007-01-30 |
| 1609977503 | New Way Out, Corp. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 712 Oak Circle Dr E, Mobile, AL 36609-4222 | 2006-09-26 |
| 1063910552 | Meadows Place Group Home Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3220 Meadow Ln, Mobile, AL 36618-4638 | 2018-01-30 |
| 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 |
| 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 |
| 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 |
| 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.