Active NPI
Dearborn Homes Inc.
- Nurse Practitioner
- Mobile, AL
National Provider Identifier
1689412736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- DEARBORN HOMES INC.
- Doing business as
- Dearborn Homes Inc.
- Practice address
- 3151-A Knollwood Drive
Mobile, Al 36693
Mobile, AL 36693 - Phone
- (251) 661-7608
- NPI assigned
- Jul 15, 2024
- 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
- Tisungane Blessing Chiwembu, NURSE PRACTITIONER
- Title
- Nurse Practitioner
- Phone
- (251) 533-0642
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
3151-A Knollwood Drive
Mobile, Al 36693
Mobile, AL 36693
Mailing address
1200 Grande Oak Blvd Apt 1102
Saraland, AL 36571-3741
Phone (251) 533-0642
Other practice location 1
3717 Daulphin Street
Mobile, AL 36608
Phone (251) 343-0909
Other names 1
- Dearborn Homes Inc.
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gerontology Nurse Practitioner
- Mobile, AL
- NPI 1013699172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721001600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721001600000",
"number": "1689412736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 GRANDE OAK BLVD APT 1102",
"city": "SARALAND",
"state": "AL",
"postal_code": "365713741",
"telephone_number": "251-533-0642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3151-A KNOLLWOOD DRIVE",
"address_2": "MOBILE, AL 36693",
"city": "MOBILE",
"state": "AL",
"postal_code": "36693",
"telephone_number": "251-661-7608"
}
],
"practiceLocations": [
{
"address_1": "3717 Daulphin Street",
"address_purpose": "LOCATION",
"city": "Mobile",
"state": "AL",
"postal_code": "36608",
"country_code": "US",
"telephone_number": "251-343-0909",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "DEARBORN HOMES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-15",
"last_updated": "2024-07-15",
"certification_date": "2024-07-05",
"status": "A",
"authorized_official_last_name": "CHIWEMBU",
"authorized_official_first_name": "TISUNGANE",
"authorized_official_middle_name": "BLESSING",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "251-533-0642",
"authorized_official_credential": "NURSE PRACTITIONER"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Dearborn Homes Inc.",
"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 Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.