Emmanuel House

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

EMMANUEL HOUSE

Practice address

5001 Cypress Creek Ave E
Tuscaloosa, AL 35405-6017

Phone

(205) 242-6277

NPI assigned

Oct 12, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Donna BaileyNPI 1508644519

Title

Vice President

Phone

(205) 242-6277

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Donna Bailey

  • In Home Supportive Care Agency
  • Tuscaloosa, AL
  • NPI 1508644519
  NPD Authorized official

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

{
    "created_epoch": "1697068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1033990171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 CRESTLINE DR",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354054170",
            "telephone_number": "205-242-6277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 CYPRESS CREEK AVE E",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354056017",
            "telephone_number": "205-242-6277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMMANUEL HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-12",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "205-242-6277",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alelegn Enyew, MD
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• Haley Ervin, PHARMD

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Tuscaloosa, AL
• Providers in Tuscaloosa, AL by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.