KING CERTIFIED RESIDENTIAL FACILITY


Address: 4008 Flatwoods Road, Northport, AL 35473-1101
Phone: 2057927829

KING CERTIFIED RESIDENTIAL FACILITY (NPI# 1497910244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497910244
Entity Type Organization
Organization Name KING CERTIFIED RESIDENTIAL FACILITY
Practice Address 4008 Flatwoods Road
Northport
AL 35473-1101
Mailing Address 4008 Flatwoods Rd
Northport
AL 35473-1101
Practice Telephone 2057927829
Mailing Telephone 2057927829
Mailing Fax Number 2053301359
Enumeration Date 2008-07-22
Last Update Date 2008-07-22
Authorized Official Name RENEE KING HOLLEY (FAMILY PROVIDER)
Authorized Official Telephone 2057927829
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5324343 AL Residential Treatment Facilities

Office Location

Street Address 4008 FLATWOODS ROAD
City NORTHPORT
State AL
Zip Code 35473-1101

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356858930 Latoya Mckinstry Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 3914 Watermelon Rd, Northport, AL 35473-5184 2018-01-04
1689988891 James River Sclh Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5505 James River Dr, Northport, AL 35473-1309 2010-07-29
1619484904 Virtuous Women of West Alabama Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 3914 Watermelon Rd, Northport, AL 35473-5184 2018-01-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1184236721 Nekiya Jones Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 417 Fox Run Lane, Pell City, AL 35125-9366 2020-08-17
1952926230 Ouicare LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 117 E Forest Ave, Troy, AL 36081-4501 2020-06-11
1194352120 Montessori Mental Health LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 209 Glen Meadow Ln, Harvest, AL 35749-8995 2020-03-27
1467098681 Fhl Group Home,llc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 12218 Spring Rd, Tanner, AL 35671-3214 2019-11-22
1972021970 Volunteers of America Southeast Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1204 Hillcrest Rd, Mobile, AL 36695-3930 2017-08-30
1316463144 Answered Prayer Home Care Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 4101 Wall St Ste C, Montgomery, AL 36106-3724 2017-08-14
1851813422 Ericka Letoindia Betton Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1554 Basil St, Mobile, AL 36603-5019 2017-07-14
1740719566 Yvette Renee Fuller Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 102 Populus Dr, Harvest, AL 35749-4802 2017-06-06
1790134757 Three Folds Care Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 6336 Taylor Ridge Rd, Montgomery, AL 36116-6507 2016-06-09
1427411354 Independence Accessible Housing LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1401 11th St S, Birmingham, AL 35205-4613 2016-03-29
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Competitor

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City NORTHPORT
Zip Code 35473

Improve Information

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Dataset Information

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.

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