NPIMap

Organization Active NPI

Easter Seals Alabama Inc

  • Voluntary or Charitable Agency
  • Muscle Shoals, AL
National Provider Identifier
1003886235
Registry record updated Mar 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
License
10684 Issued in AL
Legal business name
EASTER SEALS ALABAMA INC
Practice address
1450 Avalon Ave
Muscle Shoals, AL 35661-3110
Phone
(256) 381-1110
Fax
(256) 314-5105
NPI assigned
Jan 23, 2006
Last updated
Mar 22, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Danny C Prince
Title
Administrator
Phone
(256) 381-1110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X 10684 AL Primary

Addresses

Primary practice location

1450 Avalon Ave
Muscle Shoals, AL 35661-3110

Mailing address

1450 Avalon Ave
Muscle Shoals, AL 35661-3110
Phone (256) 381-1110

Other identifiers 1

IdentifierTypeStateIssuer
529100380MedicaidAL

Other names 1

  • Easter Seals Rehabilitation Center Northwest Alabama Part of LBN Other name

National Provider Directory

National Provider Directory

Locations

1450 Avalon Ave
Muscle Shoals, AL 35661
Phone (256) 381-1110

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332374400000",
    "number": "1003886235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 AVALON AVE",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356613110",
            "telephone_number": "256-381-1110",
            "fax_number": "256-314-5105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 AVALON AVE",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356613110",
            "telephone_number": "256-381-1110",
            "fax_number": "256-314-5105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTER SEALS ALABAMA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-23",
        "last_updated": "2012-03-22",
        "status": "A",
        "authorized_official_last_name": "PRINCE",
        "authorized_official_first_name": "DANNY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "256-381-1110",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "AL",
            "license": "10684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529100380",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Easter Seals Rehabilitation Center Northwest Alabama Part of LBN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Muscle Shoals, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.