Active NPI
Father Walter Memorial Child Care Center
- Pediatric Skilled Nursing Facility
- Montgomery, AL
National Provider Identifier
1336137488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Skilled Nursing Facility
- License
- 08394
- Legal business name
- FATHER WALTER MEMORIAL CHILD CARE CENTER
- Practice address
- 2815 Forbes Dr
Montgomery, AL 36110-1307 - Phone
- (334) 262-6421
- Fax
- (334) 262-2265
- NPI assigned
- Oct 12, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Yataisha Feleese Robertson, RN
- Title
- Director of Nursing
- Phone
- (334) 230-1935
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Skilled Nursing Facility | 3140N1450X | 08394 | AL | Primary |
Addresses
Primary practice location
2815 Forbes Dr
Montgomery, AL 36110-1307
Mailing address
2815 Forbes Dr
Montgomery, AL 36110-1307
Phone (334) 262-6421
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4751050S | Medicaid | AL |
National Provider Directory
National Provider Directory- Tax ID family
- Father Walter Memorial Child Care Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Deatsville, AL
- NPI 1972509453
Locations
2815 Forbes Dr
Montgomery, AL 36110
Phone (334) 263-4221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129075200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1336137488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2815 FORBES DR",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361101307",
"telephone_number": "334-262-6421",
"fax_number": "334-262-2265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2815 FORBES DR",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361101307",
"telephone_number": "334-262-6421",
"fax_number": "334-262-2265"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FATHER WALTER MEMORIAL CHILD CARE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-12",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ROBERTSON",
"authorized_official_first_name": "YATAISHA",
"authorized_official_middle_name": "FELEESE",
"authorized_official_title_or_position": "DIRECTOR OF NURSING",
"authorized_official_telephone_number": "334-230-1935",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "3140N1450X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
"state": "AL",
"license": "08394",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4751050S",
"state": "AL"
}
],
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.