NPIMap

Organization Active NPI

Shoals Committee on Programs and Employment for the Mentally Retarded

  • Early Intervention Provider Agency
  • Florence, AL
National Provider Identifier
1992256952
Registry record updated Oct 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
0961B Issued in AL
Legal business name
SHOALS COMMITTEE ON PROGRAMS AND EMPLOYMENT FOR THE MENTALLY RETARDED
Practice address
4129 Helton Dr
Florence, AL 35630-6207
Phone
(256) 768-0901
NPI assigned
Oct 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2016

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

Authorized official

Name
Mr. Arvy G Dupuy III
Title
Executive Director
Phone
(256) 768-0901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 0961B AL Primary

Addresses

Primary practice location

4129 Helton Dr
Florence, AL 35630-6207

Mailing address

4129 Helton Dr
Florence, AL 35630-6207
Phone (256) 768-0901

Other identifiers 1

IdentifierTypeStateIssuer
1194905687MedicaidAL

Other names 1

  • SCOPE 310 Authority Other name

National Provider Directory

National Provider Directory
Tax ID family
Scope 310 Authority2 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

4129 Helton Dr
Florence, AL 35630
Phone (256) 768-0901

NPI Registry JSON

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

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476403200000",
    "number": "1992256952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4129 HELTON DR",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356306207",
            "telephone_number": "256-768-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4129 HELTON DR",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356306207",
            "telephone_number": "256-768-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOALS COMMITTEE ON PROGRAMS AND EMPLOYMENT FOR THE MENTALLY RETARDED",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-14",
        "last_updated": "2016-10-14",
        "status": "A",
        "authorized_official_last_name": "DUPUY",
        "authorized_official_first_name": "ARVY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "256-768-0901",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "AL",
            "license": "0961B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194905687",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SCOPE 310 Authority",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Florence, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; 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.