Ced Fellowship House, Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

CED FELLOWSHIP HOUSE, INC.

Practice address

4209 Brooke Ave
Gadsden, AL 35904-8300

Phone

(256) 413-3470

Fax

(256) 413-3472

NPI assigned

Jul 14, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Rannie Jay Childress, MS, NCAC II, SAP

Title

Executive Director

Phone

(256) 413-3470

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Russell Andrew Wofford, LMSW

  • Social Worker
  • Gadsden, AL
  • NPI 1114886454
  NPD (past)

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1164686754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4209 BROOKE AVE",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359048300",
            "telephone_number": "256-413-3470",
            "fax_number": "256-413-3472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4209 BROOKE AVE",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359048300",
            "telephone_number": "256-413-3470",
            "fax_number": "256-413-3472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CED FELLOWSHIP HOUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-14",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "CHILDRESS",
        "authorized_official_first_name": "RANNIE",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "256-413-3470",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, NCAC II, SAP"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Thomas Carter, PHARM D
• Christine Cashman
• Elquis M. Castillo, MD
• Anthony J Catanzaro, M.D.
• Heidi Cato, OTR/L
• Emily Carol Chandler, MCD CCC-SLP
• Chika Franklin Chilaka
• Children and Teen Dental Group of Alabama
• Michael D Chmielewski, DPM
• Choice Medical Healthcare LLC

• Substance Abuse Rehabilitation Facility in Gadsden, AL
• Providers in Gadsden, AL by specialty
• Substance Abuse Rehabilitation Facility in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.