EASTER SEALS ALABAMA, INC. EASTER SEALS WEST ALABAMA (NPI# 1972608941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972608941 |
| Entity Type | Organization |
| Organization Name | EASTER SEALS ALABAMA, INC. EASTER SEALS WEST ALABAMA |
| Other Organization Name | EASTER SEALS WEST ALABAMA |
| Practice Address |
1110 Dr. Edward Hillard Drive Tuscaloosa AL 35401-3207 |
| Mailing Address |
Po Box 2817 Tuscaloosa AL 35403-2817 |
| Practice Telephone | 2057591211 |
| Practice Fax Number | 2053491162 |
| Mailing Telephone | 2057591211 |
| Mailing Fax Number | 2053491162 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2013-05-23 |
| Authorized Official Name | RONNY B. JOHNSTON (ADMINISTRATOR) |
| Authorized Official Telephone | 2057591211 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
12008 | AL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BCBS OF ALABAMA | 010-175 | 01 |
| AL | BLUE CROSS & BLUE SHIELD | 51515014 | 01 |
| AL | BLUE CROSS & BLUE SHIELD | 515-31066 | 01 |
| AL | BLUE CROSS & BLUE SHIELD | 51531482 | 01 |
| AL | 529101420 | 05 | |
| AL | BLUE CROSS & BLUE SHIELD | 51077985 | 01 |
| AL | BLUE CROSS & BLUE SHIELD | 51533901 | 01 |
| AL | BLUE CROSS & BLUE SHIELD | 010-175 | 01 |
| Other Name | Type Code |
|---|---|
| Easter Seals West Alabama | Doing Business As Name - Organization |
| Street Address |
1110 DR. EDWARD HILLARD DRIVE |
| City | TUSCALOOSA |
| State | AL |
| Zip Code | 35401-3207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336380542 | Elizabeth Claire Stephens | Nutritionist | 1110 Dr. Edward Hillard Drive, Tuscaloosa, AL 35403-2817 | 2009-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942768031 | Serenity and Hope LLC | Clinic/Center | 2703 7th Street, Tuscaloosa, AL 35401 | 2019-03-07 |
| 1356834428 | Heather Glenn Macleod | Social Worker | 303 Hargrove Rd E Ste A, Tuscaloosa, AL 35401 | 2018-06-12 |
| 1154832921 | Imc of Alabama | Physical Therapist | 5101 21st Street, Tuscaloosa, AL 35401 | 2017-10-19 |
| 1316466238 | Parents Resource Institute for Drug Education (pride) of Tuscaloosa | Community/Behavioral Health | 620 14th Street, Suite E, Tuscaloosa, AL 35401 | 2017-09-12 |
| 1871967075 | Jeri Zemke | Specialist/Technologist | 504 University Blvd, Tuscaloosa, AL 35401 | 2015-11-25 |
| 1356719033 | Jimmy Dean Winters | Nurse Practitioner | Five Horizons Health Services, 2720 6th Street, Tuscaloosa, AL 35401 | 2015-09-11 |
| 1831505429 | Jennifer Baggett | Speech-Language Pathologist | 603 Hackberry Lane, Tuscaloosa, AL 35401 | 2014-07-03 |
| 1184045684 | Samantha Pasteur | Massage Therapist | 2601 12 St, Tuscaloosa, AL 35401 | 2013-12-31 |
| 1386089282 | John Logan Bailey | Pharmacist | 809 University Boulevard, Dch Regional Medical Center, Tuscaloosa, AL 35401 | 2013-05-06 |
| 1104170539 | Kristin C Townsend | Technician, Other | 500 -b Paul Bryant Drive East, Tuscaloosa, AL 35401 | 2012-11-07 |
| Find all providers in zip 35401 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477182277 | Alabama Department of Mental Health | Clinic/Center | 1305 James I Harrison Jr Pkwy E, Tuscaloosa, AL 35405-2540 | 2020-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376172171 | Alabama Department of Mental Health | Clinic/Center | 3280 Dauphin St Ste 100, Mobile, AL 36606-4060 | 2020-04-03 |
| 1891324695 | Alabama Department of Mental Health | Clinic/Center | 631 Beacon Pkwy W Ste 211, Birmingham, AL 35209-3131 | 2020-04-03 |
| 1013555093 | Rehab Associates, LLC | Clinic/Center | 2050 Gadsden Hwy Ste 104, Birmingham, AL 35235-3260 | 2019-12-20 |
| 1245876275 | Rehab Associates, LLC | Clinic/Center | 1021 Montgomery Hwy Ste 200, Vestavia Hills, AL 35216-2805 | 2019-11-25 |
| 1962055699 | Alabama Department of Mental Health | Clinic/Center | 100 N Union St # 468, Montgomery, AL 36104-3719 | 2019-07-22 |
| 1245720002 | Delta Rehab Services LLC | Clinic/Center | 7956 Vaughn Rd Ste 202, Montgomery, AL 36116-6625 | 2018-05-16 |
| 1710426499 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 213 Ana Dr, Florence, AL 35630-1768 | 2017-02-15 |
| 1427496587 | Fleur De Lis Operations LLC | Clinic/Center | 6157 Airport Blvd, Suite 852022, Mobile, AL 36685-5501 | 2013-06-11 |
| 1447448550 | Pediatric Therapy Link of North Alabama, LLC | Clinic/Center | 97 Hughes Rd Ste H, Madison, AL 35758-3401 | 2007-10-15 |
| 1548302680 | Pediatric Therapy Services LLC | Clinic/Center | 1031 Oak St, Montgomery, AL 36108-2829 | 2007-02-13 |
| Find all providers with the same taxonomy | ||||
| City | TUSCALOOSA |
| Zip Code | 35401 |
Please comment or provide details below to improve the information on EASTER SEALS ALABAMA, INC. EASTER SEALS WEST ALABAMA.
| 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.