Active NPI
At Home Independent Living Inc.
- Community/Behavioral Health Agency
- Northport, AL
National Provider Identifier
1871830646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- AT HOME INDEPENDENT LIVING INC.
- Practice address
- 4004 41St St
Northport, AL 35473-2308 - Phone
- (205) 242-3962
- Fax
- (205) 344-6955
- NPI assigned
- Jan 13, 2013
- Last updated
- Jan 13, 2013
- 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
- Terry Joe Dent
- Title
- President
- Phone
- (205) 242-3962
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | NU | Primary |
Addresses
Primary practice location
4004 41St St
Northport, AL 35473-2308
Mailing address
1112 38TH St
Tuscaloosa, AL 35401-7075
Phone (205) 242-3962
National Provider Directory
National Provider DirectoryLocations
1112 38th St
Tuscaloosa, AL 35401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358035200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1358035200000",
"number": "1871830646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1112 38TH ST",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354017075",
"telephone_number": "205-242-3962",
"fax_number": "205-344-6955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4004 41ST ST",
"city": "NORTHPORT",
"state": "AL",
"postal_code": "354732308",
"telephone_number": "205-242-3962",
"fax_number": "205-344-6955"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AT HOME INDEPENDENT LIVING INC.",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-13",
"last_updated": "2013-01-13",
"status": "A",
"authorized_official_last_name": "DENT",
"authorized_official_first_name": "TERRY",
"authorized_official_middle_name": "JOE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "205-242-3962"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northport, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.