Active NPI
New Way Out, Corp.
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Mobile, AL
National Provider Identifier
1609977503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- License
- 322D0000X
- Legal business name
- NEW WAY OUT, CORP.
- Practice address
- 712 Oak Circle Dr E
Mobile, AL 36609-4222 - Phone
- (251) 665-4627
- Fax
- (251) 666-9599
- NPI assigned
- Sep 26, 2006
- 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
- Mrs. Annease Petway, MSW
- Title
- Owner
- Phone
- (251) 665-4627
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | 322D0000X | AL | Primary |
Addresses
Primary practice location
712 Oak Circle Dr E
Mobile, AL 36609-4222
Mailing address
PO Box 191533
Mobile, AL 36619-6533
Phone (251) 665-4627
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33909248 | Medicaid | AL |
Other names 1
- Petway Residential Facilities
National Provider Directory
National Provider DirectoryLocations
712 Oak Circle Dr E
Mobile, AL 36609
Phone (251) 665-4627
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1609977503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 191533",
"city": "MOBILE",
"state": "AL",
"postal_code": "366196533",
"telephone_number": "251-665-4627",
"fax_number": "251-661-9599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "712 OAK CIRCLE DR E",
"city": "MOBILE",
"state": "AL",
"postal_code": "366094222",
"telephone_number": "251-665-4627",
"fax_number": "251-666-9599"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW WAY OUT, CORP.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-26",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PETWAY",
"authorized_official_first_name": "ANNEASE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "251-665-4627",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MSW"
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "AL",
"license": "322D0000X",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "33909248",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Petway Residential Facilities",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mobile, 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.