ST. JUDE CATHOLIC HOSPITAL (NPI# 1821113465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821113465 |
| Entity Type | Organization |
| Organization Name | ST. JUDE CATHOLIC HOSPITAL |
| Other Organization Name | FATHER PURCELL MEMORIAL EXCEPTIONAL CHILDREN'S CENTER |
| Practice Address |
1820 Oak Strret Montgomery AL 36108 |
| Mailing Address |
2048 W Fairview Ave Montgomery AL 36108-4196 |
| Practice Telephone | 3348345590 |
| Practice Fax Number | 3348345602 |
| Mailing Telephone | 3348345590 |
| Mailing Fax Number | 3348345602 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. SAM P. PALOMARIA (ADMINISTRATOR) |
| Authorized Official Telephone | 3348345590 |
| Authorized Official Credential | N.H.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3140N1450X |
Skilled Nursing Facility Specialization: Nursing Care, Pediatric |
N5104 | AL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 4754450S | 05 |
| Other Name | Type Code |
|---|---|
| Father Purcell Memorial Exceptional Children's Center | Doing Business As Name - Organization |
| Street Address |
1820 OAK STRRET |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194362848 | Avery Chikezie Anaje | Dentist | 3060 Mobile Highway, Montgomery, AL 36108 | 2019-12-02 |
| 1871986356 | Jamelle Young | Pharmacist | 4720 Mobile Hwy, Montgomery, AL 36108 | 2015-03-09 |
| 1467823427 | Yleis Engerman | Counselor | 126 Grovewood Ct, Montgomery, AL 36108-1802 | 2015-10-15 |
| 1699181131 | Debra Lynn Nix | Specialist | 285 Hunter Loop Rd, Montgomery, AL 36108-1822 | 2014-07-04 |
| 1457626111 | Jeremy Romine | Physician Assistant | 3101 Tine Ave, Montgomery, AL 36108-2309 | 2012-03-14 |
| 1548302680 | Pediatric Therapy Services LLC | Clinic/Center | 1031 Oak St, Montgomery, AL 36108-2829 | 2007-02-13 |
| 1578059895 | Communication Awaits LLC | Clinic/Center | 1031 Oak St, Montgomery, AL 36108-2829 | 2018-07-10 |
| 1417229824 | Shundreya George-jefferson | Occupational Therapist | 1031 Oak St, Montgomery, AL 36108-2829 | 2012-01-31 |
| 1881864940 | Deirdre Cottrell | Physical Therapist | 1031 Oak St, Montgomery, AL 36108-2829 | 2008-03-05 |
| 1295905313 | Danita Johnson | Occupational Therapist | 1031 Oak St, Montgomery, AL 36108-2829 | 2008-03-04 |
| Find all providers in zip 36108 | ||||
| Taxonomy Code | 3140N1450X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| Specialization | Nursing Care, Pediatric |
| A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336137488 | Father Walter Memorial Child Care Center | Skilled Nursing Facility | 2815 Forbes Dr, Montgomery, AL 36110-1307 | 2005-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760783633 | Lifecare | Skilled Nursing Facility | 560 County Road 825, Logan, AL 35098-1425 | 2010-11-09 |
| 1477506970 | Huntsville Senior Services, LLC | Skilled Nursing Facility | 2004 Max Luther Dr Nw, Huntsville, AL 35810-3800 | 2006-05-18 |
| 1598214272 | Anniston Health and Rehab Services, LLC | Skilled Nursing Facility | 600 E 8th St, Anniston, AL 36207-5822 | 2016-09-23 |
| 1982033551 | We Care Health Services | Skilled Nursing Facility | 659 Oak Hill Rd, Mobile, AL 36609-5914 | 2013-11-05 |
| City | MONTGOMERY |
| Zip Code | 36108 |
Please comment or provide details below to improve the information on ST. JUDE CATHOLIC HOSPITAL.
| 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.