Albion Group Home Incorporated

Primary specialty

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

Legal business name

ALBION GROUP HOME INCORPORATED

Doing business as

NNCJ one on one

Practice address

1019 Albion St NW
Palm Bay, FL 32907-9057

Phone

(321) 674-9698

Fax

(321) 729-0983

NPI assigned

Apr 17, 2007

Last updated

Jun 12, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Martha Burdette

Title

Provider Owner

Phone

(321) 674-9698

Specialties & licenses 1

Addresses

Other names 1

• NNCJ one on one Doing business as

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1063638526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 ALBION ST NW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329079057",
            "telephone_number": "321-674-9698",
            "fax_number": "321-729-0983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 ALBION ST NW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329079057",
            "telephone_number": "321-674-9698",
            "fax_number": "321-729-0983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBION GROUP HOME INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "BURDETTE",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "PROVIDER    OWNER",
        "authorized_official_telephone_number": "321-674-9698"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NNCJ one on one",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.