Meadows Place Group Home Inc

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

MEADOWS PLACE GROUP HOME INC

Practice address

3220 Meadow LN
Mobile, AL 36618-4638

Phone

(251) 209-1894

Fax

(251) 459-0991

NPI assigned

Jan 30, 2018

Organization subpart

Yes

Parent organization

MEADOWS PLACE GROUP HOME INCAs reported in NPPES

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

Authorized official

Name

Mrs. Althelda Campbell StallworthNPI 1154833499

Title

Executive Director

Phone

(251) 209-1894

Specialties & licenses 1

Addresses

Part of

Meadows Place Group Home Inc

Practitioners 1

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

• Althelda Campbell Stallworth

  • Intellectual & Developmental Disabilities Psychologist
  • Mobile, AL
  • NPI 1154833499
  NPD (past) Authorized official

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

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517270400000",
    "number": "1063910552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 MEADOW LN",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366184638",
            "telephone_number": "251-209-1894",
            "fax_number": "251-459-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 MEADOW LN",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366184638",
            "telephone_number": "251-209-1894",
            "fax_number": "251-459-0991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOWS PLACE GROUP HOME INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEADOWS PLACE GROUP HOME INC",
        "enumeration_date": "2018-01-30",
        "last_updated": "2018-01-30",
        "status": "A",
        "authorized_official_last_name": "STALLWORTH",
        "authorized_official_first_name": "ALTHELDA",
        "authorized_official_middle_name": "CAMPBELL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "251-209-1894",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MD Mobile Care, Inc
• Elizabeth Zieman Meacham, DMD
• Margaret Meacham
• Rachael Dennis Meador, CRNP
• Richard Sellors Meador Jr., M.D.
• Tampa Louise Meadows Sykora, CDA,RDH
• Terri Kay Meadows, CRNP
• Kaitlyn Yvonne Meads, DO
• Sydney Meaux
• Medchoice Pharmacy Services, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2018; 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.