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LITTLE SISTERS OF THE POOR HOME FOR THE AGED INC NPI 1518956424


NPI Information

NPI: 1518956424
Provider Name: LITTLE SISTERS OF THE POOR HOME FOR THE AGED INC

Other Name: SACRED HEART HOME

Classification: Intermediate Care Facility, Mental Illness - 310500000X
Entity Type: Organization

CLIA Number: 01D0641763

Address:
1655 MCGILL AVE
MOBILE, AL
ZIP 36604
Phone: (251) 476-6335
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LITTLE SISTERS OF THE POOR HOME FOR THE AGED INC is an intermediate care facility mental illness in Mobile, AL. The provider is a nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. LITTLE SISTERS OF THE POOR HOME FOR THE AGED INC NPI is 1518956424. The provider is registered as an organization entity type.
The provider Other Name Is Sacred Heart Home.

The provider's business location address is:

1655 MCGILL AVE
MOBILE, AL
ZIP 36604-218
Phone: (251) 476-6335
Fax: (251) 478-6519

The provider's authorized official is Ginger Lyndall .
The authorized official title is Treasurer and has the following contact phone number (251) 476-6335.

The CLIA number assigned to this NPI record is 01D0641763 - skilled nursing/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/14/2005 and was last updated on 12/19/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living Facility09678ALABAMANo
2310500000XIntermediate Care Facility, Mental Illness09684ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11209930001MEDICARE NSCALABAMA
24754740SMEDICAIDALABAMA
3015168MEDICARE PINALABAMA
4010590OTHERALABAMABLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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