Organization Active NPI

Simpra Advantage, Inc.

  • Preferred Provider Organization
  • Birmingham, AL
National Provider Identifier
1942715404
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
SIMPRA ADVANTAGE, INC.
Practice address
3008 7TH Ave S
Birmingham, AL 35233-3503
Phone
(205) 320-7575
Fax
(205) 320-7595
NPI assigned
Dec 6, 2017
Organization subpart
Yes
Parent organization
ASSOCIATED CARE VENTURES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Authorized official

Name
Ronald Chaffin
Title
Ceo
Phone
(205) 320-7575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X Primary

Addresses

Primary practice location

3008 7TH Ave S
Birmingham, AL 35233-3503

Mailing address

3008 7TH Ave S
Birmingham, AL 35233-3503
Phone (205) 320-7575

National Provider Directory

National Provider Directory
Part of
Associated Care Ventures in

NPI Registry JSON

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

{
    "created_epoch": "1512518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657497600000",
    "number": "1942715404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3008 7TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352333503",
            "telephone_number": "205-320-7575",
            "fax_number": "205-320-7595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3008 7TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352333503",
            "telephone_number": "205-320-7575",
            "fax_number": "205-320-7595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPRA ADVANTAGE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASSOCIATED CARE VENTURES, INC.",
        "enumeration_date": "2017-12-06",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A",
        "authorized_official_last_name": "CHAFFIN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "205-320-7575"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; 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.