FSQC-Al LLC

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

Legal business name

FSQC-AL LLC

Doing business as

Lake View Estates

Practice address

2634 Valleydale Rd
Hoover, AL 35244-2708

Phone

(205) 981-0001

NPI assigned

Jun 5, 2012

Organization subpart

Yes

Parent organization

FSQC-AL LLCAs reported in NPPES

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

Authorized official

Name

Bruce J Mackey Jr.

Title

President & Chief Executive Officer

Phone

(617) 796-8214

Specialties & licenses 1

Addresses

Other names 1

• Lake View Estates Doing business as

Tax ID family

FSQC-Al LLC2 organizations share this tax ID, including this one

Part of

FSQC-Al LLC

Other organizations with this tax ID 1

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

• FSQC-Al LLC

  • Assisted Living Facility
  • Hoover, AL
  • NPI 1700148467
  NPD tax ID

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466985600000",
    "number": "1316208499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CENTRE ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024582094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2634 VALLEYDALE RD",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352442708",
            "telephone_number": "205-981-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FSQC-AL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FSQC-AL LLC",
        "enumeration_date": "2012-06-05",
        "last_updated": "2016-06-27",
        "status": "A",
        "authorized_official_last_name": "MACKEY",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT & CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "617-796-8214",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake View Estates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Margaret Renn Freuchtel, PA-C
• Friday PT, LLC
• Nicole Frost, OTR/L
• Kelley Danielle Fry, MSN, CRNP, FNP-BC
• Leslie Fry
• FSQC-Al LLC
• Jadalyn Fulgham
• Full Well Neurofeedback LLC
• Chinenyenwa Nwakaego Gabriel
• Nicole Gafford

• Alzheimer Center (Dementia Center) in Hoover, AL
• Providers in Hoover, AL by specialty
• Alzheimer Center (Dementia Center) in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.