Organization Active NPI

The Health Care Authority of the City of Greenville - LV Stabler Hospi

  • Home Health Agency
  • Greenville, AL
National Provider Identifier
1053381905
Registry record updated Feb 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
THE HEALTH CARE AUTHORITY OF THE CITY OF GREENVILLE - LV STABLER HOSPI
Practice address
104 Camellia Ave
Suite B
Greenville, AL 36037-1514
Phone
(334) 383-2286
Fax
(334) 383-2343
NPI assigned
Jan 24, 2006
Last updated
Feb 9, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
THE HEALTH CARE AUTHORITY OF THE CITY OF GREENVILLE - LV STABLER HOSPIAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 9, 2018

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

Authorized official

Name
David Glenn Wilcox
Title
Cfo
Phone
(334) 383-2423

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X AL Primary

Addresses

Primary practice location

104 Camellia Ave
Suite B
Greenville, AL 36037-1514

Mailing address

104 Camellia Ave
Suite B
Greenville, AL 36037-1514
Phone (334) 383-2286

Other identifiers 1

IdentifierTypeStateIssuer
LVS7138AMedicaidAL

Care Compare: Home health agency

Medicare Care Compare
Listed as
L V Stabler Memorial Home HealthCCN 017138
Ownership
Proprietary
Certified
Oct 18, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

National Provider Directory

National Provider Directory
Part of
Ivy Creek of Butler LLC

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518134400000",
    "number": "1053381905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 CAMELLIA AVE",
            "address_2": "SUITE B",
            "city": "GREENVILLE",
            "state": "AL",
            "postal_code": "360371514",
            "telephone_number": "334-383-2286",
            "fax_number": "334-383-2343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 CAMELLIA AVE",
            "address_2": "SUITE B",
            "city": "GREENVILLE",
            "state": "AL",
            "postal_code": "360371514",
            "telephone_number": "334-383-2286",
            "fax_number": "334-383-2343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEALTH CARE AUTHORITY OF THE CITY OF GREENVILLE - LV STABLER HOSPI",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE HEALTH CARE AUTHORITY OF THE CITY OF GREENVILLE - LV STABLER HOSPI",
        "enumeration_date": "2006-01-24",
        "last_updated": "2018-02-09",
        "status": "A",
        "authorized_official_last_name": "WILCOX",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "334-383-2423"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LVS7138A",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.