Active NPI
Moriah Christian Children's Home
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Dutton, AL
National Provider Identifier
1740518117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility
- License
- 045884
- 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, 2009
- 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
- Mrs. Phyllis Watkins
- Title
- Director
- Phone
- (256) 228-0054
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.