NPIMap

Organization Active NPI

Macon County Council on Retardation and Rehabilitation, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Tuskegee, AL
National Provider Identifier
1205965878
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
MACON COUNTY COUNCIL ON RETARDATION AND REHABILITATION, INC.
Practice address
405 Macon Dr # a
Tuskegee, AL 36083-1984
Phone
(334) 727-4200
Fax
(334) 727-5713
NPI assigned
Mar 2, 2007
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. Henry L. Kennebrew
Title
Executive Director
Phone
(334) 727-4200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X AL Primary

Addresses

Primary practice location

405 Macon Dr # a
Tuskegee, AL 36083-1984

Mailing address

405 Macon Dr # a
Tuskegee, AL 36083-1984
Phone (334) 727-4200

National Provider Directory

National Provider Directory

Locations

405 Macon Dr
#A
Tuskegee, AL 36083
Phone (334) 727-4200

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205965878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 MACON DR # A",
            "city": "TUSKEGEE",
            "state": "AL",
            "postal_code": "360831984",
            "telephone_number": "334-727-4200",
            "fax_number": "334-727-5713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 MACON DR # A",
            "city": "TUSKEGEE",
            "state": "AL",
            "postal_code": "360831984",
            "telephone_number": "334-727-4200",
            "fax_number": "334-727-5713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACON COUNTY COUNCIL ON RETARDATION AND REHABILITATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KENNEBREW",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "334-727-4200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuskegee, 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.