1760640353 NPI number — SEQUEL SCHOOLS LLC DBA NORRIS ACADEMY

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1760640353 NPI number — SEQUEL SCHOOLS LLC DBA NORRIS ACADEMY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SEQUEL SCHOOLS LLC DBA NORRIS ACADEMY
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1760640353
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/20/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1131 EAGLETREE LANE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HUNTSVILLE
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
35801-6478
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
256-880-3339
Provider Business Mailing Address Fax Number:
256-880-7026

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
101 FIRST QUALITY DRIVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ANDERSONVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37705-4067
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
865-494-5554
Provider Business Practice Location Address Fax Number:
865-494-6335
Provider Enumeration Date:
05/30/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
TURNER
Authorized Official First Name:
KAY
Authorized Official Middle Name:
Authorized Official Title or Position:
ASSISTANT DIRECTOR
Authorized Official Telephone Number:
256-880-3339

Provider Taxonomy Codes

  • Taxonomy code: 323P00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 323P00000X , with the licence number: L000000008437 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 323P00000X , with the licence number: L000000008436 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1506932 , issued by the state of ( TN ) . This identifiers is of the category "MEDICAID".