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NORTH ALABAMA CHRISTIAN CHILDRENS HOME NPI 1841303898


NPI Information

NPI: 1841303898
Provider Name: NORTH ALABAMA CHRISTIAN CHILDRENS HOME

Former Legal Business Name: CHRISTIAN CHILDRENS HOME

Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization

CLIA Number: 01D2268669

Address:
6372 COUNTY ROAD #63
FLORENCE, AL
ZIP 35630
Phone: (256) 757-4212
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NORTH ALABAMA CHRISTIAN CHILDRENS HOME is a residential treatment facility emotionally disturbed children in Florence, AL. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. NORTH ALABAMA CHRISTIAN CHILDRENS HOME NPI is 1841303898. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Christian Childrens Home.

The provider's business location address is:

6372 COUNTY ROAD #63
FLORENCE, AL
ZIP 35630
Phone: (256) 757-4212
Fax: (256) 757-7484

The provider's authorized official is Don Glynn Williams .
The authorized official title is Executive Director and has the following contact phone number (256) 757-4212.

The CLIA number assigned to this NPI record is 01D2268669 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/16/2006 and was last updated on 7/16/2008.


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
1322D00000XResidential Treatment Facility, Emotionally Disturbed Children000268ALABAMAYes

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
1339090130MEDICAIDALABAMA

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: 4/28/2024

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