State of Alabama Department of Public Health
Organization Active NPI Home Health Agency · Montgomery, AL
NPI 1043398332 · NPPES record last updated Sep 13, 2024
Key facts
- NPI
- 1043398332
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH
- Practice address
- 3060 Mobile Hwy
Montgomery, AL 36130-0001 - Phone
- (334) 293-6525
- Fax
- (334) 293-6402
- NPI assigned
- Nov 2, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH
Authorized official
- Name
- Grover T Wedgeworth
- Title
- State Home Care Director
- Phone
- (334) 206-5341
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- St Clair County Health Dept-Ashville AIDS
- Part of
- St Clair County Health Dept-Ashville AIDS
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
3060 Mobile Hwy
Montgomery, AL 36130-0001
Mailing address
201 Monroe St
The Rsa Tower, Suite 1200
Montgomery, AL 36104-3735
Phone (334) 206-5341
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MON7851A | Medicaid | AL |
Other names
- Montgomery County Home Care
Other providers in Montgomery, AL
- Lakechia Clarice Starks
- State of Alabama
- State of Alabama
- State of Alabama Department of Finance
- State of Alabama Department of Public Health
- State of Alabama Department of Public Health
- State of Alabama Department of Public Health
- State of Alabama Department of Public Health
- State of Alabama Department of Public Health
- State of Alabama Department of Public Health
All providers in Montgomery, AL · Home Health Agency in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.