Organization Active NPI

Montgomery Area Services for Persons With Mental Retardation, Inc

  • Case Management Agency
  • Montgomery, AL
National Provider Identifier
1205923455
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
MONTGOMERY AREA SERVICES FOR PERSONS WITH MENTAL RETARDATION, INC
Practice address
519 Buckingham Dr
Montgomery, AL 36116-2738
Phone
(334) 288-1151
Fax
(334) 288-1536
NPI assigned
Oct 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Leland WC Conner
Title
Executive Director
Phone
(334) 288-1151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

519 Buckingham Dr
Montgomery, AL 36116-2738

Mailing address

519 Buckingham Dr
Montgomery, AL 36116-2738
Phone (334) 288-1151

Other names 1

  • MASPMR Other name

National Provider Directory

National Provider Directory

Locations

519 Buckingham Dr
Montgomery, AL 36116
Phone (334) 288-1151

NPI Registry JSON

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205923455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 BUCKINGHAM DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361162738",
            "telephone_number": "334-288-1151",
            "fax_number": "334-288-1536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 BUCKINGHAM DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361162738",
            "telephone_number": "334-288-1151",
            "fax_number": "334-288-1536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY AREA SERVICES FOR PERSONS WITH MENTAL RETARDATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CONNER",
        "authorized_official_first_name": "LELAND",
        "authorized_official_middle_name": "WC",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "334-288-1151",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MASPMR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Montgomery, AL

Sources for this page

  • 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.