Organization Active NPI

Big Ben'Sgroup Home

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Dothan, AL
National Provider Identifier
1407869951
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
BIG BEN'SGROUP HOME
Practice address
112 N Bell St
Dothan, AL 36303-4308
Phone
(334) 793-5406
Fax
(334) 793-5406
NPI assigned
Aug 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Bennie Earl Griffin
Title
Administer
Phone
(334) 655-5406

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary

Addresses

Primary practice location

112 N Bell St
Dothan, AL 36303-4308

Mailing address

112 N Bell St
Dothan, AL 36303-4308
Phone (334) 793-5406

National Provider Directory

National Provider Directory

Locations

112 N Bell St
Dothan, AL 36303
Phone (334) 793-5406

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407869951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 N BELL ST",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363034308",
            "telephone_number": "334-793-5406",
            "fax_number": "334-793-5406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 N BELL ST",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363034308",
            "telephone_number": "334-793-5406",
            "fax_number": "334-793-5406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG BEN'SGROUP HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "BENNIE",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "ADMINISTER",
        "authorized_official_telephone_number": "334-655-5406",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, 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.

Verify at the official NPI Registry.