AFB DIVERSIFIED, LLC (NPI# 1306399175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306399175 |
| Entity Type | Organization |
| Organization Name | AFB DIVERSIFIED, LLC |
| Practice Address |
614 Elmwood Ave Gadsden AL 35903-1654 |
| Practice Telephone | 2565438837 |
| Practice Fax Number | 2565438839 |
| Mailing Telephone | 2565438837 |
| Mailing Fax Number | 2565438839 |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2016-07-28 |
| Authorized Official Name | JANICE JACKSON (OWNER) |
| Authorized Official Telephone | 2563903427 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | AL | Nursing & Custodial Care Facilities |
| Street Address |
614 ELMWOOD AVE |
| City | GADSDEN |
| State | AL |
| Zip Code | 35903-1654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821519612 | Fresenius Kidney Care Gadsden Acq, LLC | Clinic/Center | 800 Goodyear Ave, Gadsden, AL 35903 | 2017-06-30 |
| 1992140545 | Kristy Bray | Nurse Practitioner | 1007 Goodyear Avenue, Gadsden, AL 35903 | 2013-05-08 |
| 1386918076 | Chinyere Hope Buchi-ahiabuike | Nurse Practitioner | 1216 Wilbanks Ave, Gadsden, AL 35903 | 2012-02-28 |
| 1003047606 | Housing Opportunities for Persons With Exceptionalities, Inc. | Community/Behavioral Health | 327 N. 10th Street, Gadsden, AL 35903 | 2009-07-30 |
| 1154596690 | Cardiovascular Imaging | Technician, Cardiology | 5606 2nd St, Hokes Bluff, AL 35903 | 2008-04-25 |
| 1114007713 | State of Alabama Department of Public Health | Home Health | 709 East Broad Street, Gadsden, AL 35903 | 2006-10-17 |
| 1336246321 | Terisa Ann Thomas | Specialist | 800 Goodyear Avenue, Suite B, Gadsden, AL 35903 | 2006-09-20 |
| 1508874512 | Steven Michael Sanders | Family Medicine | 1026 Goodyear Avenue, Suite 100, Gadsden, AL 35903 | 2006-08-04 |
| 1184673535 | Quality of Life Health Services, Inc. | Clinic/Center | 1216 Wilbanks Avenue, Gadsden, AL 35903 | 2006-05-10 |
| 1306838818 | Thomas A Pugliese | Internal Medicine | 900 Goodyear Avenue, Suite A, Gadsden, AL 35903 | 2005-08-19 |
| Find all providers in zip 35903 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437570934 | Francine A Reese | Intermediate Care Facility, Mentally Retarded | 5330 Moffett Rd, 5320 Moffett Road, Mobile, AL 36618-2904 | 2013-12-31 |
| 1689868077 | The Arc of The Shoals | Intermediate Care Facility, Mentally Retarded | 901 Keller Ln, Tuscumbia, AL 35674-1140 | 2007-08-29 |
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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.