Organization Active NPI

New Way Out, Corp.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Mobile, AL
National Provider Identifier
1609977503
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
322D0000X Issued in AL
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

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
Mrs. Annease Petway, MSW
Title
Owner
Phone
(251) 665-4627

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
33909248MedicaidAL

Other names 1

  • Petway Residential Facilities Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.