Active NPI
Montgomery Children'S Specialty Center, LLC
- Skilled Nursing Facility
- Montgomery, AL
National Provider Identifier
1225347495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 123323
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225347495 | Medicaid | AL |
Other names 1
- Montgomery Children's Specialty Center
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D2084570 | Montgomery Children'S Specialty Center | Certificate of waiver | Sep 24, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pediatrics Physician
- Montgomery, AL
- NPI 1134197916
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
- Montgomery Breast Associates
- Montgomery Cancer Center LLC
- Montgomery Cancer Center LLC
- Montgomery Cancer Center, LLC
- Montgomery Cardiovascular Associates, P.C.
- Montgomery City Drug Inc
- Montgomery Counseling Center LLC
- Montgomery County
- Montgomery County Health Dept Adult Immun
- Montgomery County Health Dept AIDS
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.