OrganizationActive
Exclusive Residential Service LLC
NPI 1700205705 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Mobile, AL
Provider details
- NPI number
- 1700205705
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Shirley Mcmillion-Jackson, Owner(251) 423-8197
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2117 Luckner Ct
Mobile, AL 36618-2618
Phone: (251) 341-1764
Street-level locationGet directions
Mailing address
2117 Luckner Ct
Mobile, AL 36618-2618
Registry dates
- Enumerated
- 2014-04-08
- Last updated
- 2014-05-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.