NPIMap

Organization Active NPI

Allen Memorial Home

  • Skilled Nursing Facility
  • Mobile, AL
National Provider Identifier
1750367538
Registry record updated Sep 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
10608 Issued in AL
Legal business name
ALLEN MEMORIAL HOME
Practice address
735 S Washington Ave
Mobile, AL 36603-1301
Phone
(251) 433-2642
Fax
(251) 433-5502
NPI assigned
Dec 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2013

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

Authorized official

Name
Cheryl A Robinson
Title
Administrator
Phone
(251) 433-2642

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 10608 AL Primary

Addresses

Primary practice location

735 S Washington Ave
Mobile, AL 36603-1301

Mailing address

735 S Washington Ave
Mobile, AL 36603-1301
Phone (251) 433-2642

Other identifiers 2

IdentifierTypeStateIssuer
4750980SMedicaidAL
10608OtherALSTATE OF ALABAMA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378080000000",
    "number": "1750367538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 S WASHINGTON AVE",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366031301",
            "telephone_number": "251-433-2642",
            "fax_number": "251-433-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 S WASHINGTON AVE",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366031301",
            "telephone_number": "251-433-2642",
            "fax_number": "251-433-5502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN MEMORIAL HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-22",
        "last_updated": "2013-09-02",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "251-433-2642"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AL",
            "license": "10608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4750980S",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ALABAMA",
            "identifier": "10608",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Sep 2, 2013; 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.