Organization Active NPI

Resurrection Catholic Missions of the South, Inc

  • Skilled Nursing Facility
  • Montgomery, AL
National Provider Identifier
1689750283
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
12471 Issued in AL
Legal business name
RESURRECTION CATHOLIC MISSIONS OF THE SOUTH, INC
Practice address
2815 Forbes Dr
Montgomery, AL 36110-1307
Phone
(334) 263-4221
Fax
(334) 263-4999
NPI assigned
Oct 27, 2006
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
Mr. Grant H. Haygood, CPA
Title
Chief Financial Officer
Phone
(334) 230-1964

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 12471 AL Primary
Pediatric Skilled Nursing Facility 3140N1450X 12652 AL

Addresses

Primary practice location

2815 Forbes Dr
Montgomery, AL 36110-1307

Mailing address

2815 Forbes Dr
Montgomery, AL 36110-1307
Phone (334) 263-4221

Other identifiers 2

IdentifierTypeStateIssuer
47-52130SMedicaidAL
47-51050SMedicaidAL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1689750283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 FORBES DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361101307",
            "telephone_number": "334-263-4221",
            "fax_number": "334-263-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 FORBES DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361101307",
            "telephone_number": "334-263-4221",
            "fax_number": "334-263-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESURRECTION CATHOLIC MISSIONS OF THE SOUTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "HAYGOOD",
        "authorized_official_first_name": "GRANT",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "334-230-1964",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AL",
            "license": "12471",
            "primary": true
        },
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "AL",
            "license": "12652",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47-52130S",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47-51050S",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, 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.