NPIMap

Organization Active NPI

A2002 Senior, LLC

  • Assisted Living Facility
  • Mobile, AL
National Provider Identifier
1235433293
Registry record updated Jan 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
A2002 SENIOR, LLC
Practice address
4720 Morrison Dr
Mobile, AL 36609-3321
Phone
(251) 380-0053
NPI assigned
Jan 6, 2011
Organization subpart
Yes
Parent organization
A2002 SENIOR, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 6, 2011

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

Authorized official

Name
Bryan Hudson
Title
General Counsel
Phone
(502) 779-7683

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

4720 Morrison Dr
Mobile, AL 36609-3321

Mailing address

4720 Morrison Dr
Mobile, AL 36609-3321
Phone (251) 380-0053

Other names 1

  • Regency Doing business as

National Provider Directory

National Provider Directory
Tax ID family
A2002 Senior LLC8 organizations share this tax ID, including this one
Part of
A2002 Senior LLC

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1294272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294272000000",
    "number": "1235433293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4720 MORRISON DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366093321",
            "telephone_number": "251-380-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 MORRISON DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366093321",
            "telephone_number": "251-380-0053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A2002 SENIOR, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "A2002 SENIOR, LLC",
        "enumeration_date": "2011-01-06",
        "last_updated": "2011-01-06",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "GENERAL COUNSEL",
        "authorized_official_telephone_number": "502-779-7683"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; 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.