EXTENDED FAMILY INC


Address: 2300 Center Way S, Birmingham, AL 35205-6728
Phone: 2059108762

EXTENDED FAMILY INC (NPI# 1740567890) 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) 1740567890
Entity Type Organization
Organization Name EXTENDED FAMILY INC
Practice Address 2300 Center Way S
Birmingham
AL 35205-6728
Practice Telephone 2059108762
Practice Fax Number 2057774023
Mailing Telephone 2059108762
Mailing Fax Number 2057774023
Enumeration Date 2011-11-03
Last Update Date 2011-11-03
Authorized Official Name MRS. LAVORIS MICHELLE WILLIAMS (LICENSED PROFESSIONAL COUNSELOR)
Authorized Official Telephone 2059108762
Authorized Official Credential MA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health AL Agencies

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1730564303 Extended Family Inc Home Health 10333 Harwin Dr Ste 152, Houston, TX 77036-1542 2015-07-24
1255582946 Extended Family Inc In Home Supportive Care 201 Leonard St, Breaux Bridge, LA 70517-5199 2008-10-01
1053515031 Extended Family Inc Voluntary or Charitable 4228 Glenroy Dr, Memphis, TN 38125-3077 2007-06-13

Office Location

Street Address 2300 CENTER WAY S
City BIRMINGHAM
State AL
Zip Code 35205-6728

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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

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1740893346 Phoenix Community Support Services LLC Community/Behavioral Health 4111 Avenue L, Birmingham, AL 35208-1807 2020-08-25
1295390995 Infinity Group Home LLC Community/Behavioral Health 1412 Cahaba River Parc, Birmingham, AL 35243-3269 2019-05-08
1467911461 Rize Therapeutic Mentoring Service Community/Behavioral Health 429 Green Springs Hwy Ste 161, Birmingham, AL 35209-4938 2019-03-19
1366918047 Healing Branches Transformatons LLC Community/Behavioral Health 5915 Princess Blvd, Birmingham, AL 35215-8500 2018-10-19
1720595291 Amy Ray LLC Community/Behavioral Health 5520 Highway 280 Ste 4, Birmingham, AL 35242-2308 2018-01-05
1891210902 Sunshine Health Systems Community/Behavioral Health 808 20th St S, Birmingham, AL 35205-2752 2017-08-09
1437672300 Parkway Learning Center for Adults LLC Community/Behavioral Health 9000 Parkway E, Birmingham, AL 35206-1557 2017-07-21
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Competitor

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City BIRMINGHAM
Zip Code 35205

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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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