NPIMap

Organization Active NPI

Methodist Home for the Aging

  • Assisted Living Facility
  • Irondale, AL
National Provider Identifier
1033716659
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
METHODIST HOME FOR THE AGING
Practice address
1424 Montclair Rd
Irondale, AL 35210-2208
Phone
(205) 956-4150
NPI assigned
Oct 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Authorized official

Name
Regina T Lawler
Title
VP & Director of Administrative Ser
Phone
(205) 951-2442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1424 Montclair Rd
Irondale, AL 35210-2208

Mailing address

1520 Cooper Hill Rd
Irondale, AL 35210-2303
Phone (205) 951-2442

Other names 1

  • Fair Haven Assisted Living Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fair Haven Assisted Living Special Care7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

1520 Cooper Hill Rd
Irondale, AL 35210
Phone (205) 731-3115

NPI Registry JSON

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601942400000",
    "number": "1033716659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 COOPER HILL RD",
            "city": "IRONDALE",
            "state": "AL",
            "postal_code": "352102303",
            "telephone_number": "205-951-2442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 MONTCLAIR RD",
            "city": "IRONDALE",
            "state": "AL",
            "postal_code": "352102208",
            "telephone_number": "205-956-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METHODIST HOME FOR THE AGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-06",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "LAWLER",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "VP & DIRECTOR OF ADMINISTRATIVE SER",
        "authorized_official_telephone_number": "205-951-2442"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fair Haven Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irondale, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; 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.