EXCLUSIVE RESIDENTIAL SERVICE LLC
NPI 1700205705
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Mobile, AL

Q: What is Exclusive Residential Service LLC's NPI number?

The NPI number for Exclusive Residential Service LLC is 1700205705. It was assigned to this organization in the NPPES registry on April 8, 2014.

Q: What is Exclusive Residential Service LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Active since April 08, 2014

2117 LUCKNER CT, MOBILE, AL 36618(251) 341-1764 Get Directions Write a Review

NPPES record last updated: May 5, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Exclusive Residential Service Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EXCLUSIVE RESIDENTIAL SERVICE LLC (NPI 1700205705) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Mobile, Alabama and active in the NPI registry since April 2014. The organization lists Shirley A. Mcmillion-jackson, Owner, as its authorized official.

NPPES Registry Identity

NPI1700205705

Entity TypeOrganization

Primary Taxonomy320900000X

Legal Business NameEXCLUSIVE RESIDENTIAL SERVICE LLC

Location Address2117 LUCKNER CTMobile, AL 36618-2618

Mailing Address2117 Luckner CtMobile, AL 36618-2618 · (251) 341-1764

Phone(251) 341-1764

Organization SubpartNo

Authorized OfficialShirley A. Mcmillion-jacksonOwner · (251) 423-8197

Enumeration DateApril 8, 2014

Last NPPES UpdateMay 5, 2014

✔ NPI 1700205705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320900000X

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

2117 LUCKNER CT, Mobile, AL 36618

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHIRLEY MCMILLAN JACKSON

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

2117 LUCKNER CT
MOBILE, AL 36618

Mobile County (251) 423-8197

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Exclusive Residential Service LLC's NPI number?

The NPI number for Exclusive Residential Service LLC is 1700205705. It was assigned to this organization in the NPPES registry on April 8, 2014.

Where is Exclusive Residential Service LLC located?

Exclusive Residential Service LLC is located at 2117 Luckner Ct, Mobile, AL 36618. The listed phone number is (251) 341-1764.

What is Exclusive Residential Service LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Exclusive Residential Service LLC was last updated on May 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.