Organization Active NPI

Montgomery Highley Living Center, LLC

  • Public Health & General Preventive Medicine Physician
  • Montgomery, AL
National Provider Identifier
1295957066
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
Legal business name
MONTGOMERY HIGHLEY LIVING CENTER, LLC
Practice address
7080 Sydney Curv
Montgomery, AL 36117-3508
Phone
(334) 215-0711
Fax
(334) 215-0710
NPI assigned
May 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

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

Authorized official

Name
Mr. Randall Spradlin
Title
Owner
Phone
(334) 215-0711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2083P0901X Primary

Addresses

Primary practice location

7080 Sydney Curv
Montgomery, AL 36117-3508

Mailing address

7080 Sydney Curv
Montgomery, AL 36117-3508
Phone (334) 215-0711

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1295957066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7080 SYDNEY CURV",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173508",
            "telephone_number": "334-215-0711",
            "fax_number": "334-215-0710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7080 SYDNEY CURV",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173508",
            "telephone_number": "334-215-0711",
            "fax_number": "334-215-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY HIGHLEY LIVING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "SPRADLIN",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-215-0711",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 3, 2007; 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.