Organization Active NPI

Fancy Homes LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Bessemer, AL
National Provider Identifier
1639059975
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
FANCY HOMES LLC
Practice address
3757 Seaside Sparrow Cir
Bessemer, AL 35022-4719
Phone
(318) 990-9225
NPI assigned
Sep 5, 2025
Last updated
Sep 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Authorized official

Name
Mohammad Abdallah Latayfa
Title
Owner
Phone
(318) 990-9225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

3757 Seaside Sparrow Cir
Bessemer, AL 35022-4719

Mailing address

103 Garden View LN Apt 103
Hoover, AL 35244-1841
Phone (318) 990-9225

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1757030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757030400000",
    "number": "1639059975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 GARDEN VIEW LN APT 103",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352441841",
            "telephone_number": "318-990-9225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3757 SEASIDE SPARROW CIR",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350224719",
            "telephone_number": "318-990-9225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FANCY HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-05",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A",
        "authorized_official_last_name": "LATAYFA",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "ABDALLAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-990-9225"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bessemer, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.