Organization Active NPI

Paige Certified Residental Facility

  • Community/Behavioral Health Agency
  • Tuscaloosa, AL
National Provider Identifier
1326294000
Registry record updated Aug 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PAIGE CERTIFIED RESIDENTAL FACILITY
Practice address
4617 30TH Ave E
Tuscaloosa, AL 35405-4407
Phone
(205) 633-1698
Fax
(205) 562-1015
NPI assigned
Aug 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2008

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

Authorized official

Name
Mr. Reginald Bernard Paige Sr.
Title
Owner
Phone
(205) 657-3277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4617 30TH Ave E
Tuscaloosa, AL 35405-4407

Mailing address

4617 30TH Ave E
Tuscaloosa, AL 35405-4407

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1326294000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4617 30TH AVE E",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354054407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4617 30TH AVE E",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354054407",
            "telephone_number": "205-633-1698",
            "fax_number": "205-562-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIGE CERTIFIED RESIDENTAL FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-13",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "PAIGE",
        "authorized_official_first_name": "REGINALD",
        "authorized_official_middle_name": "BERNARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-657-3277",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; 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.