Organization Active NPI

The Arc of Shelby County, Inc.

  • Early Intervention Provider Agency
  • Pelham, AL
National Provider Identifier
1215004940
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
THE ARC OF SHELBY COUNTY, INC.
Practice address
203 Amphitheater Rd
Pelham, AL 35124-4302
Phone
(205) 664-9313
Fax
(205) 664-1934
NPI assigned
Nov 29, 2006
Last updated
May 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2013

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

Authorized official

Name
Karen H. Stokes
Title
Executive Director
Phone
(205) 664-9313

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X AL
Early Intervention Provider Agency 252Y00000X AL Primary

Addresses

Primary practice location

203 Amphitheater Rd
Pelham, AL 35124-4302

Mailing address

203 Amphitheater Rd
Suite H
Pelham, AL 35124-4302
Phone (205) 664-9313

Other identifiers 1

IdentifierTypeStateIssuer
591600054MedicaidAL

National Provider Directory

National Provider Directory

Locations

203 Amphitheater Rd
Ste H
Pelham, AL 35124

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367366400000",
    "number": "1215004940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 AMPHITHEATER RD",
            "address_2": "SUITE H",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351244302",
            "telephone_number": "205-664-9313",
            "fax_number": "205-664-1934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 AMPHITHEATER RD",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351244302",
            "telephone_number": "205-664-9313",
            "fax_number": "205-664-1934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ARC OF SHELBY COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2013-05-01",
        "status": "A",
        "authorized_official_last_name": "STOKES",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "205-664-9313"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "AL",
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "591600054",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pelham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; 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.