Organization Active NPI

Golden Acres Assisted Living Facility

  • Ambulatory Family Planning Facility
  • Mobile, AL
National Provider Identifier
1952829202
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Family Planning FacilityTaxonomy code 261QA0005X
Legal business name
GOLDEN ACRES ASSISTED LIVING FACILITY
Practice address
6411 Howells Ferry Rd
Mobile, AL 36618-3120
Phone
(251) 473-0700
Fax
(847) 388-4848
NPI assigned
Sep 7, 2017
Organization subpart
Yes
Parent organization
PATTON BLANKS HEALTH CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Mary Carnes Woods, LCSW
Title
Administrator
Phone
(251) 473-0700

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X AL
Community/Behavioral Health Agency 251S00000X
Ambulatory Family Planning Facility 261QA0005X AL Primary

Addresses

Primary practice location

6411 Howells Ferry Rd
Mobile, AL 36618-3120

Mailing address

1111 E I65 Service Rd S Ste 106
Mobile, AL 36606-3101
Phone (251) 473-0700

Other identifiers 1

IdentifierTypeStateIssuer
C65259050862OtherALDRIVERS LICENSE

Other names 1

  • Patten Blanks Health Care Other name

National Provider Directory

National Provider Directory

Locations

1111 E I65 Service Rd S
Ste 106
Mobile, AL 36606

NPI Registry JSON

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1952829202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 E I65 SERVICE RD S STE 106",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366063101",
            "telephone_number": "251-473-0700",
            "fax_number": "847-388-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6411 HOWELLS FERRY RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366183120",
            "telephone_number": "251-473-0700",
            "fax_number": "847-388-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN ACRES ASSISTED LIVING FACILITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PATTON BLANKS HEALTH CARE",
        "enumeration_date": "2017-09-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "CARNES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "251-473-0700",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "AL",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "C65259050862",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patten Blanks Health Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.