THE ARC OF THE SHOALS (NPI# 1689868077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689868077 |
| Entity Type | Organization |
| Organization Name | THE ARC OF THE SHOALS |
| Practice Address |
901 Keller Ln Tuscumbia AL 35674-1140 |
| Mailing Address |
Po Box 501 Tuscumbia AL 35674-0501 |
| Practice Telephone | 2563831472 |
| Practice Fax Number | 2563831486 |
| Mailing Telephone | 2563831472 |
| Mailing Fax Number | 2563831486 |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2007-08-29 |
| Authorized Official Name | MRS. DONNA AKINS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2563831472 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 04957800I | 05 |
| Street Address |
901 KELLER LN |
| City | TUSCUMBIA |
| State | AL |
| Zip Code | 35674-1140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033720701 | Brandi Jackson | Nurse Practitioner | Tennessee Valley Pediatrics, 234 Keller Park, Tuscumbia, AL 35674 | 2020-08-14 |
| 1841661865 | Ashley Elizabeth Presley | Nurse Practitioner | 218 East 5th Street, Tuscumbia, AL 35674 | 2015-10-16 |
| 1487988150 | Susanna Hall | Nurse Practitioner | 1106 N Cave St, Tuscumbia, AL 35674 | 2009-09-28 |
| 1417115288 | Thomas Armstead Branscome | Dentist | 208 East Fifth Street, Tuscumbia, AL 35674 | 2008-05-29 |
| 1285712075 | Ent & Allergy Institute of North Al | Otolaryngology | 1106 North Cave Street, Tuscumbia, AL 35674 | 2006-11-01 |
| 1497840912 | Penny Oliver Townsend | Hearing Instrument Specialist | 116 East 5th Street, Tuscumbia, AL 35674 | 2006-10-03 |
| 1962470914 | David Bruce Laughlin | Family Medicine | 1404 Avalon Ave, Suite B-00, Tuscumbia, AL 35674 | 2006-03-08 |
| 1033192695 | Air Evac Ems Inc | Ambulance | 1010 3 Mile Ln, Tuscumbia, AL 35674 | 2005-11-28 |
| 1912256348 | Katie Elizabeth Fulmer | Nurse Practitioner | 234 Keller Park Blvd, Tuscumbia, AL 35674 | 2012-08-30 |
| 1205148939 | Samanger Nicole Purcell | Specialist | 234 Keller Park Blvd, Tuscumbia, AL 35674 | 2010-07-10 |
| Find all providers in zip 35674 | ||||
| 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 |
|---|---|---|---|---|
| 1306399175 | Afb Diversified, LLC | Intermediate Care Facility, Mentally Retarded | 614 Elmwood Ave, Gadsden, AL 35903-1654 | 2016-07-28 |
| 1437570934 | Francine A Reese | Intermediate Care Facility, Mentally Retarded | 5330 Moffett Rd, 5320 Moffett Road, Mobile, AL 36618-2904 | 2013-12-31 |
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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.