Second Home Family Assisted Living Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

8444 Issued in AL

Legal business name

SECOND HOME FAMILY ASSISTED LIVING HOME

Practice address

4506 Teri CT
Montgomery, AL 36106-3540

Phone

(334) 391-5328

NPI assigned

Dec 18, 2012

Organization subpart

No

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

Authorized official

Name

Tamekia Matthews

Title

Administrator

Phone

(334) 391-5328

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1355788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355788800000",
    "number": "1750627808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4506 TERI CT",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361063540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4506 TERI CT",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361063540",
            "telephone_number": "334-391-5328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND HOME FAMILY ASSISTED LIVING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-18",
        "last_updated": "2012-12-18",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "TAMEKIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "334-391-5328"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AL",
            "license": "8444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Assisted Living Facility in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.