St. Jude Catholic Hospital

Primary specialty

Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X

License

N5104 Issued in AL

Legal business name

ST. JUDE CATHOLIC HOSPITAL

Practice address

1820 Oak Strret
Montgomery, AL 36108

Phone

(334) 834-5590

Fax

(334) 834-5602

NPI assigned

Mar 20, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Sam P. Palomaria, N.H.A.

Title

Administrator

Phone

(334) 834-5590

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Father Purcell Memorial Exceptional Children's Center Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Franklin D Scott, MD

  • Pediatrics Physician
  • Montgomery, AL
  • NPI 1134197916
  NPD (past)

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821113465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2048 W FAIRVIEW AVE",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361084196",
            "telephone_number": "334-834-5590",
            "fax_number": "334-834-5602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 OAK STRRET",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "36108",
            "telephone_number": "334-834-5590",
            "fax_number": "334-834-5602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JUDE CATHOLIC HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PALOMARIA",
        "authorized_official_first_name": "SAM",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "334-834-5590",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "N.H.A."
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "AL",
            "license": "N5104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4754450S",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Father Purcell Memorial Exceptional Children's Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• SSC Montgomery Cedar Crest Operating Company LLC
• SSC Montgomery South Haven Operating Company LLC
• SSC Montgomery Woodley Manor Opr Co. LLC
• Johanna Marie St Bernard
• Luther St James IV, M.D.
• Laura Jenelle Stabin, M.D.
• Aubrey Ayers Stabler Jr., M.D
• Precious J Stallings, CRNA
• Angela Lafaye Stallworth, MD
• Ashaunte Standberry, DC

• Pediatric Skilled Nursing Facility in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Pediatric Skilled Nursing Facility in Alabama

• 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.