Organization Active NPI

Children's Protective Associate Incorporate

Doing business as Brantwood - The Children's Home

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Montgomery, AL
National Provider Identifier
1700982840
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
298 Issued in AL
Legal business name
CHILDREN'S PROTECTIVE ASSOCIATE INCORPORATE
Doing business as
Brantwood - The Children's Home
Practice address
1309 Upper Wetumpka Rd
1309 Upper Wetumpka Rd.
Montgomery, AL 36107-1217
Phone
(334) 265-0784
Fax
(334) 265-9701
NPI assigned
Sep 16, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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. Kimberly Ann Herbert
Title
Executive Director
Phone
(334) 590-8568

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 298 AL Primary

Addresses

Primary practice location

1309 Upper Wetumpka Rd
1309 Upper Wetumpka Rd.
Montgomery, AL 36107-1217

Mailing address

1309 Upper Wetumpka Rd
1309 Upper Wetumpka Rd.
Montgomery, AL 36107-1217
Phone (334) 265-0784

Other names 1

  • Brantwood - The Children's Home Doing business as

National Provider Directory

National Provider Directory

Locations

1309 Upper Wetumpka Rd
Montgomery, AL 36107
Phone (334) 265-0784

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700982840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 UPPER WETUMPKA RD",
            "address_2": "1309 UPPER WETUMPKA RD.",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361071217",
            "telephone_number": "334-265-0784",
            "fax_number": "334-265-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 UPPER WETUMPKA RD",
            "address_2": "1309 UPPER WETUMPKA RD.",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361071217",
            "telephone_number": "334-265-0784",
            "fax_number": "334-265-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S PROTECTIVE ASSOCIATE INCORPORATE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HERBERT",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "334-590-8568",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "AL",
            "license": "298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brantwood - The Children's Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 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.