Organization Active NPI

Dale County Mental Retardation Board

  • Case Management Agency
  • Ozark, AL
National Provider Identifier
1053416636
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
251B00000X Issued in AL
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

Updated by the provider on Sep 11, 2025

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.