Organization Active NPI

Moriah Christian Children's Home

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Dutton, AL
National Provider Identifier
1740518117
Registry record updated Nov 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
045884 Issued in AL
Legal business name
MORIAH CHRISTIAN CHILDREN'S HOME
Practice address
417 County Road 446
Dutton, AL 35744-8457
Phone
(256) 228-0054
Fax
(256) 228-0054
NPI assigned
Nov 24, 2009
Last updated
Nov 24, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2009

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

Authorized official

Name
Mrs. Phyllis Watkins
Title
Director
Phone
(256) 228-0054

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 045884 AL Primary

Addresses

Primary practice location

417 County Road 446
Dutton, AL 35744-8457

Mailing address

PO Box 58
Dutton, AL 35744-0058
Phone (256) 228-0054

National Provider Directory

National Provider Directory

Locations

417 County Road 446
Dutton, AL 35744
Phone (256) 228-0054

NPI Registry JSON

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

{
    "created_epoch": "1259020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259020800000",
    "number": "1740518117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 58",
            "city": "DUTTON",
            "state": "AL",
            "postal_code": "357440058",
            "telephone_number": "256-228-0054",
            "fax_number": "256-228-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 COUNTY ROAD 446",
            "city": "DUTTON",
            "state": "AL",
            "postal_code": "357448457",
            "telephone_number": "256-228-0054",
            "fax_number": "256-228-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORIAH CHRISTIAN CHILDREN'S HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-24",
        "last_updated": "2009-11-24",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "256-228-0054",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "AL",
            "license": "045884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dutton, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2009; 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.