Organization Active NPI

South Alabama Leisure Rehabilitation Recreation Center Inc

  • Developmentally Disabled Services Day Training Agency
  • Irvington, AL
National Provider Identifier
1558683409
Registry record updated Feb 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
SOUTH ALABAMA LEISURE REHABILITATION RECREATION CENTER INC
Practice address
8571 Three Mile Rd
Lot 4
Irvington, AL 36544-3301
Phone
(251) 824-1441
Fax
(251) 824-1675
NPI assigned
Feb 19, 2010
Last updated
Feb 19, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2010

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

Authorized official

Name
Ms. Mamie Mackey
Title
Owner / Ceo
Phone
(251) 824-4689

Specialties & licenses 1

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

Addresses

Primary practice location

8571 Three Mile Rd
Lot 4
Irvington, AL 36544-3301

Mailing address

8571 Three Mile Rd
Lot 4
Irvington, AL 36544-3301
Phone (251) 824-1441

Other names 1

  • SALRRCI Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1266537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266537600000",
    "number": "1558683409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8571 THREE MILE RD",
            "address_2": "LOT 4",
            "city": "IRVINGTON",
            "state": "AL",
            "postal_code": "365443301",
            "telephone_number": "251-824-1441",
            "fax_number": "251-824-1675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8571 THREE MILE RD",
            "address_2": "LOT 4",
            "city": "IRVINGTON",
            "state": "AL",
            "postal_code": "365443301",
            "telephone_number": "251-824-1441",
            "fax_number": "251-824-1675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH ALABAMA LEISURE REHABILITATION RECREATION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-19",
        "last_updated": "2010-02-19",
        "status": "A",
        "authorized_official_last_name": "MACKEY",
        "authorized_official_first_name": "MAMIE",
        "authorized_official_title_or_position": "OWNER / CEO",
        "authorized_official_telephone_number": "251-824-4689",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SALRRCI",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Irvington, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2010; 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.