Organization Active NPI

Association for Retarded Citizens Inc of Jefferson County

  • Developmentally Disabled Services Day Training Agency
  • Birmingham, AL
National Provider Identifier
1497831069
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
ASSOCIATION FOR RETARDED CITIZENS INC OF JEFFERSON COUNTY
Practice address
215 21St Ave S
Birmingham, AL 35205-6801
Phone
(205) 323-6383
Fax
(205) 323-0085
NPI assigned
Oct 27, 2006
Last updated
Jul 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Authorized official

Name
Chris Stewart
Title
Chief Financial Officer
Phone
(205) 503-4040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NU Primary

Addresses

Primary practice location

215 21St Ave S
Birmingham, AL 35205-6801

Mailing address

215 21St Ave S
Birmingham, AL 35205-6801
Phone (205) 323-6383

Other identifiers 1

IdentifierTypeStateIssuer
529100040MedicaidAL

Other names 1

  • Arc of Jefferson County, Inc Other name

National Provider Directory

National Provider Directory
Tax ID family
Arc of Jefferson County Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

215 21st Ave S
Birmingham, AL 35205
Phone (205) 322-4500

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1497831069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 21ST AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352056801",
            "telephone_number": "205-323-6383",
            "fax_number": "205-323-0085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 21ST AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352056801",
            "telephone_number": "205-323-6383",
            "fax_number": "205-323-0085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATION FOR RETARDED CITIZENS INC OF JEFFERSON COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "205-503-4040"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529100040",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arc of Jefferson County, Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.