Parker Adult Foster Home, Inc.

Primary specialty

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

License

119223 Issued in AL

Legal business name

PARKER ADULT FOSTER HOME, INC.

Practice address

671 Stanton Rd
Mobile, AL 36617-2205

Phone

(251) 456-7100

Fax

(251) 456-7146

NPI assigned

Feb 27, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Carol Parker, SOCIAL WORKER

Title

Executive Director

Phone

(251) 456-7100

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063549103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40847",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366400847",
            "telephone_number": "251-456-7100",
            "fax_number": "251-456-7146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 STANTON RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366172205",
            "telephone_number": "251-456-7100",
            "fax_number": "251-456-7146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKER ADULT FOSTER HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "251-456-7100",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "SOCIAL WORKER"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "AL",
            "license": "119223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Paris, OT
• Christopher A Park, M.D.
• Elizabeth Arnold Park, MD
• John Park
• Scott Arthur Park, P.T.
• Beverly Jane Parker, CRNP
• Bridgette Michelle Parker, CRNP
• Cecil L Parker Jr., MD
• Danielle Marie Parker, MD
• Derriona Sontaijah Parker

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Mobile, AL
• Providers in Mobile, 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 Aug 22, 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.