Afb Diversified, LLC

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

AFB DIVERSIFIED, LLC

Practice address

614 Elmwood Ave
Gadsden, AL 35903-1654

Phone

(256) 543-8837

Fax

(256) 543-8839

NPI assigned

Jul 28, 2016

Organization subpart

No

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

Authorized official

Name

Janice Jackson

Title

Owner

Phone

(256) 390-3427

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469664000000",
    "number": "1306399175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 ELMWOOD AVE",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031654",
            "telephone_number": "256-543-8837",
            "fax_number": "256-543-8839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 ELMWOOD AVE",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031654",
            "telephone_number": "256-543-8837",
            "fax_number": "256-543-8839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFB DIVERSIFIED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-28",
        "last_updated": "2016-07-28",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-390-3427"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual Disabilities Intermediate Care Facility in Gadsden, AL
• Providers in Gadsden, AL by specialty
• Intellectual Disabilities Intermediate Care Facility in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; 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.