Alexander's Place of Serenity

Primary specialty

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

Legal business name

ALEXANDER'S PLACE OF SERENITY

Practice address

3928 Neptune Dr NW
Huntsville, AL 35810-1374

Phone

(256) 348-4908

NPI assigned

Jan 11, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Pamela Felicia McTillerNPI 1841066511

Title

Executive Director

Phone

(256) 348-4908

Specialties & licenses 1

Addresses

Practitioners 1

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

• Pamela F McTiller, EXECUTIVE DIRECTOR

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Huntsville, AL
  • NPI 1841066511

  Community Based Residential Treatment Facility, Intellectual and/Or Developmental Disabilities

  NPD Authorized official

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

{
    "created_epoch": "1704931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1184495863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10309 WAYSIDE DR NE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358106300",
            "telephone_number": "256-348-4908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3928 NEPTUNE DR NW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358101374",
            "telephone_number": "256-348-4908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDER'S PLACE OF SERENITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "MCTILLER",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "FELICIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "256-348-4908",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chastity Reshae Alexander
• Deaira A Alexander
• Eloise K Alexander, MD
• Howard Cobb Alexander, M.D.
• Natalie Alexander, LPC
• Seth Ethan Adam Alford
• Julie Algie
• Ahmed Ali, MD
• Laith Ali, MD
• Mohamed Aboubakr Elsheshtawi Ali, MD

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Huntsville, AL
• Providers in Huntsville, 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 Jan 11, 2024; 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.