Maxwell Alternative Residential Services, Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

MAXWELL ALTERNATIVE RESIDENTIAL SERVICES, INC.

Practice address

104 Gautier St
Tuskegee, AL 36083-2645

Phone

(334) 226-1454

Fax

(404) 745-0498

NPI assigned

Jul 6, 2020

Last updated

Jul 6, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Royal Bettis MaxwellNPI 1689290611

Title

President

Phone

(334) 724-9856

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Royal Bettis Maxwell

  • Registered Nurse
  • Tuskegee, AL
  • NPI 1689290611
  NPD Authorized official

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593993600000",
    "number": "1861010993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 830208",
            "city": "TUSKEGEE",
            "state": "AL",
            "postal_code": "360830208",
            "telephone_number": "334-552-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 GAUTIER ST",
            "city": "TUSKEGEE",
            "state": "AL",
            "postal_code": "360832645",
            "telephone_number": "334-226-1454",
            "fax_number": "404-745-0498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXWELL ALTERNATIVE RESIDENTIAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-06",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A",
        "authorized_official_last_name": "MAXWELL",
        "authorized_official_first_name": "ROYAL",
        "authorized_official_middle_name": "BETTIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-724-9856"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magnolia Haven Nursing Home LLC
• Magnolia Haven Nursing Home, LLC (Tuskegee Rehabilitation Clinic)
• Victoria Marriott, RD, LD
• Joi Carmel Marsh, LMSW
• Fazle Matin, MD
• Royal Bettis Maxwell
• Cecilia McCary, CRNP
• Marashia McCormick, LGSW
• Madason McCurdy, LMSW
• Jerry Lavell McDonald, RPSGT, RST

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Tuskegee, AL
• Providers in Tuskegee, AL by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; 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.