Autauga Western Elmore Association for Retarded Citizens

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

G7-2253-72 Issued in AL

Legal business name

AUTAUGA WESTERN ELMORE ASSOCIATION FOR RETARDED CITIZENS

Practice address

298 Jay St
Prattville, AL 36066-6062

Phone

(334) 365-4054

Fax

(334) 361-0335

NPI assigned

Feb 22, 2007

Last updated

Sep 11, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Dan Byrne

Title

Executive Director

Phone

(334) 365-4054

Specialties & licenses 1

Addresses

Other names 1

• Early Intervnetion Program Other name

Tax ID family

Autauga Western Elmore Arc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Autauga Western Elmore Arc

  dba Autauga Western Elmore Association for Retarded Citizens

  • Developmentally Disabled Services Day Training Agency
  • Prattville, AL
  • NPI 1578730602
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Autauga Western Elmore Arc

  dba Autauga Western Elmore Association for Retarded Citizens

  • Developmentally Disabled Services Day Training Agency
  • Prattville, AL
  • NPI 1578730602
  NPPES parent name

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1003941816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 681952",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360681952",
            "telephone_number": "334-365-4054",
            "fax_number": "334-361-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 JAY ST",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360666062",
            "telephone_number": "334-365-4054",
            "fax_number": "334-361-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTAUGA WESTERN ELMORE ASSOCIATION FOR RETARDED CITIZENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "BYRNE",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "334-365-4054",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "AL",
            "license": "G7-2253-72",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Early Intervnetion Program",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Autauga Family Foot Care Clinic
• Autauga Spine Center PC
• Autauga Station Dental
• Autauga Station Dental, P.C.
• Autauga Western Elmore Arc (Autauga Western Elmore Association for Retarded Citizens)
• Robert Allen Avery, MD
• Vincent Roger Azzarello, PHARMD
• John J Bachmann, CRNP
• Deidra Baird, PHARMD
• Jerry Wayne Ball, RPH

• Case Management Agency in Prattville, AL
• Providers in Prattville, AL by specialty
• Case Management Agency in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; 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.