Organization Active NPI

Montgomery Children'S Specialty Center, LLC

  • Skilled Nursing Facility
  • Montgomery, AL
National Provider Identifier
1225347495
Registry record updated Oct 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
123323 Issued in AL
Legal business name
MONTGOMERY CHILDREN'S SPECIALTY CENTER, LLC
Practice address
2853 Forbes
Montgomery, AL 36110-1307
Phone
(334) 262-6421
NPI assigned
Oct 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2010

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

Authorized official

Name
Joseph C Tutera
Title
Manager
Phone
(816) 444-0900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 123323 AL Primary

Addresses

Primary practice location

2853 Forbes
Montgomery, AL 36110-1307

Mailing address

2853 Forbes
Montgomery, AL 36110-1307

Other identifiers 1

IdentifierTypeStateIssuer
1225347495MedicaidAL

Other names 1

  • Montgomery Children's Specialty Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2084570Montgomery Children'S Specialty Center2853 Forbes Drive, Montgomery, AL 36110Certificate of waiverSep 24, 2026

National Provider Directory

National Provider Directory

Locations

2853 Forbes Dr
Montgomery, AL 36110
Phone (334) 261-3445

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287446400000",
    "number": "1225347495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2853 FORBES",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361101307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2853 FORBES",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361101307",
            "telephone_number": "334-262-6421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY CHILDREN'S SPECIALTY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-05",
        "last_updated": "2010-10-19",
        "status": "A",
        "authorized_official_last_name": "TUTERA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "816-444-0900"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AL",
            "license": "123323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1225347495",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montgomery Children's Specialty Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.