SOUTH ALABAMA LEISURE REHABILITATION RECREATION CENTER INC (NPI# 1558683409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558683409 |
| Entity Type | Organization |
| Organization Name | SOUTH ALABAMA LEISURE REHABILITATION RECREATION CENTER INC |
| Other Organization Name | SALRRCI |
| Practice Address |
8571 Three Mile Rd Lot 4 Irvington AL 36544-3301 |
| Practice Telephone | 2518241441 |
| Practice Fax Number | 2518241675 |
| Mailing Telephone | 2518241441 |
| Mailing Fax Number | 2518241675 |
| Enumeration Date | 2010-02-19 |
| Last Update Date | 2010-02-19 |
| Authorized Official Name | MS. MAMIE MACKEY (OWNER / CEO) |
| Authorized Official Telephone | 2518244689 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | AL | Agencies |
| Other Name | Type Code |
|---|---|
| SALRRCI | Former Legal Business Name - Organization |
| Street Address |
8571 THREE MILE RD LOT 4 |
| City | IRVINGTON |
| State | AL |
| Zip Code | 36544-3301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740333236 | House of Philadelphia, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8571 Three Mile Rd, Irvington, AL 36544-3301 | 2007-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427671528 | Catherine Thompson | Social Worker | 12701 Padgett Switch Rd, Irvington, AL 36544 | 2020-05-22 |
| 1801937057 | Cheryl Berg Horn | Speech-Language Pathologist | 9780 Cornelius Rd., Irvington, AL 36544-0675 | 2007-02-09 |
| 1326384306 | Portable Medical Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 9047 Home Ave, Irvington, AL 36544-2855 | 2012-12-20 |
| 1730425547 | Portable Medical Diagnostics LLC | Physiological Laboratory | 9047 Home Ave, Irvington, AL 36544-2855 | 2012-12-26 |
| 1376894659 | South Mobile County Home Health Services Inc. | Case Management | 9161 Saint Elmo Cir S, Irvington, AL 36544-2921 | 2012-09-26 |
| 1902926884 | W.i.n.n.e.r.s., Inc | Substance Abuse Rehabilitation Facility | 8800 Three Mile Rd, Irvington, AL 36544-3334 | 2007-04-02 |
| 1952532566 | Wilsania L. Rodriguez Mendez | Internal Medicine | 12701 Padgett Switch Road, Medicine Dept., Irvington, AL 36544-4011 | 2009-07-30 |
| 1396794426 | Bayou La Batre Area Health Development Board, Inc. | Clinic/Center | 12701 Padgett Switch Rd, Irvington, AL 36544-4011 | 2006-05-08 |
| 1396360103 | Melissa Sprinkle | Nurse Practitioner | 12701 Padgett Switch Rd, Irvington, AL 36544-4011 | 2020-06-08 |
| 1275090300 | Michael A Pickert | Nurse Practitioner | 12701 Padgett Switch Rd, Irvington, AL 36544-4011 | 2019-02-25 |
| Find all providers in zip 36544 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518526946 | Agatha Thomas | Day Training, Developmentally Disabled Services | 16 Saint Paul Dr, Irvington, NJ 07111-1728 | 2019-06-10 |
| 1588029268 | The Elite House LLC | Day Training, Developmentally Disabled Services | 1032 Clinton Ave, Irvington, NJ 07111-3532 | 2015-12-22 |
| 1841502226 | Touchbyfaith Corp. | Day Training, Developmentally Disabled Services | 451- 453 Coit Street, Irvington, NJ 07111-4606 | 2010-07-13 |
| 1609258417 | Cerebral Palsy of North Jesey | Day Training, Developmentally Disabled Services | 1150 Springfield Ave, Irvington, NJ 07111-2441 | 2015-06-29 |
| 1346629904 | Cerebral Palsy of North Jersey | Day Training, Developmentally Disabled Services | 1150 Springfield Ave, Irvington, NJ 07111-2441 | 2015-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881232080 | Dawn House, Inc | Day Training, Developmentally Disabled Services | 17714 Horseneck Rd, Bay Minette, AL 36507-7473 | 2019-12-18 |
| 1508401605 | Donna N Harrell | Day Training, Developmentally Disabled Services | 27707 Juanita Dr, Athens, AL 35613-6947 | 2019-11-12 |
| 1396396552 | Arc-baldwin County, Inc. | Day Training, Developmentally Disabled Services | 3650 S Magnolia St, Loxley, AL 36551-5447 | 2019-09-27 |
| 1124687389 | True Care Inc | Day Training, Developmentally Disabled Services | 103 Bordeaux Ln, Madison, AL 35757-7536 | 2019-06-11 |
| 1710453782 | Shepherd's Heart, LLC | Day Training, Developmentally Disabled Services | 402 S 3rd St, Gadsden, AL 35901-5211 | 2018-10-17 |
| 1265824718 | Connecting The Dots | Day Training, Developmentally Disabled Services | 300 Meadow Ridge Dr, Tuscaloosa, AL 35405-6429 | 2015-02-20 |
| 1013357417 | Huff Industries Inc. | Day Training, Developmentally Disabled Services | 55260 County Road 21, Stockton, AL 36579-4144 | 2013-06-28 |
| 1720360886 | Parmer Prewitt | Day Training, Developmentally Disabled Services | 432 65th St, Suite B, Tuscaloosa, AL 35405-6544 | 2011-09-14 |
| 1972754737 | United Cerebral Palsy of West Alabama, Inc. | Day Training, Developmentally Disabled Services | 1100 Ucp Pkwy, Northport, AL 35476-5066 | 2008-10-09 |
| 1386895563 | Eagles' Wings, Inc. | Day Training, Developmentally Disabled Services | 2205 9th Ave, Northport, AL 35476-4051 | 2008-10-06 |
| 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.