Active NPI
Dale County Mental Retardation Board
- Case Management Agency
- Ozark, AL
National Provider Identifier
1053416636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- License
- 251B00000X
- Legal business name
- DALE COUNTY MENTAL RETARDATION BOARD
- Practice address
- 2047 Stuart Tarter Rd
Ozark, AL 36360-7557 - Phone
- (334) 774-5132
- Fax
- (334) 774-3436
- NPI assigned
- Sep 14, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Herman F. Jackson
- Title
- Director
- Phone
- (334) 774-5132
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | 251B00000X | AL | Primary |
| Developmentally Disabled Services Day Training Agency | 251C00000X | 251C00000X | AL |
Addresses
Primary practice location
2047 Stuart Tarter Rd
Ozark, AL 36360-7557
Mailing address
2047 Stuart Tarter Rd
Ozark, AL 36360-7557
Phone (334) 774-5132
Other names 1
- VIVIAN B. ADAMS SCHOOL
National Provider Directory
National Provider DirectoryLocations
2047 Stuart Tarter Rd
Ozark, AL 36360
Phone (334) 774-5132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1053416636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2047 STUART TARTER RD",
"city": "OZARK",
"state": "AL",
"postal_code": "363607557",
"telephone_number": "334-774-5132",
"fax_number": "334-774-3436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2047 STUART TARTER RD",
"city": "OZARK",
"state": "AL",
"postal_code": "363607557",
"telephone_number": "334-774-5132",
"fax_number": "334-774-3436"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DALE COUNTY MENTAL RETARDATION BOARD",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-14",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "HERMAN",
"authorized_official_middle_name": "F.",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "334-774-5132",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "AL",
"license": "251B00000X",
"primary": true
},
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "AL",
"license": "251C00000X",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "VIVIAN B. ADAMS SCHOOL",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ozark, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.