Organization Active NPI

Tennessee Valley Juvenile Detention Center

  • Psychiatric Residential Treatment Facility
  • Tuscumbia, AL
National Provider Identifier
1881607554
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
00023269 Issued in AL
Legal business name
TENNESSEE VALLEY JUVENILE DETENTION CENTER
Practice address
2216 Missouri St
Tuscumbia, AL 35674-4730
Phone
(256) 381-3520
NPI assigned
Aug 14, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Tobey Robertson
Title
Administrator
Phone
(256) 381-3520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X 00023269 AL Primary

Addresses

Primary practice location

2216 Missouri St
Tuscumbia, AL 35674-4730

Mailing address

2216 Missouri St
Tuscumbia, AL 35674-4730
Phone (256) 381-3520

National Provider Directory

National Provider Directory
Tax ID family
Tennessee Valley Juvenile Detention Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2216 Missouri St
Tuscumbia, AL 35674
Phone (256) 381-3520

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881607554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2216 MISSOURI ST",
            "city": "TUSCUMBIA",
            "state": "AL",
            "postal_code": "356744730",
            "telephone_number": "256-381-3520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2216 MISSOURI ST",
            "city": "TUSCUMBIA",
            "state": "AL",
            "postal_code": "356744730",
            "telephone_number": "256-381-3520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE VALLEY JUVENILE DETENTION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "TOBEY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "256-381-3520"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "AL",
            "license": "00023269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscumbia, AL

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.