Organization Active NPI

At Home Independent Living Inc.

  • Community/Behavioral Health Agency
  • Northport, AL
National Provider Identifier
1871830646
Registry record updated Jan 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2013

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.