Organization Active NPI

Arc of St Clair County

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Pell City, AL
National Provider Identifier
1609900935
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
ARC OF ST CLAIR COUNTY
Practice address
282 Chula Vista Dr
Pell City, AL 35125-6293
Phone
(205) 814-0076
Fax
(256) 638-7193
NPI assigned
Mar 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Tracy Blake
Title
Executive Director
Phone
(205) 814-0076

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X AL
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

282 Chula Vista Dr
Pell City, AL 35125-6293

Mailing address

282 Chula Vista Dr
Pell City, AL 35125-6293
Phone (205) 814-0076

Other identifiers 1

IdentifierTypeStateIssuer
0008566000MedicaidAL

National Provider Directory

National Provider Directory

Locations

282 Chula Vista Dr
Pell City, AL 35125
Phone (205) 814-0076

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1609900935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "282 CHULA VISTA DR",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "351256293",
            "telephone_number": "205-814-0076",
            "fax_number": "256-638-7193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "282 CHULA VISTA DR",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "351256293",
            "telephone_number": "205-814-0076",
            "fax_number": "256-638-7193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARC OF ST CLAIR COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "205-814-0076"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "AL",
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008566000",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pell City, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.