Organization Active NPI

Triad of Alabama LLC

Doing business as Breathing Care Associates - Eufaula

  • Durable Medical Equipment & Medical Supplies
  • Eufaula, AL
National Provider Identifier
1063464204
Registry record updated Apr 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
5082 Issued in AL
Legal business name
TRIAD OF ALABAMA LLC
Doing business as
Breathing Care Associates - Eufaula
Practice address
314 Macon St
Eufaula, AL 36027-1810
Phone
(334) 687-7346
NPI assigned
May 16, 2006
Organization subpart
Yes
Parent organization
TRIAD OF ALABAMA LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 14, 2009

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

Authorized official

Name
Debbie Brewer
Title
Director, Provider Enrollment
Phone
(615) 465-7626

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X 5082 AL
Durable Medical Equipment & Medical Supplies 332B00000X 5082 AL Primary

Addresses

Primary practice location

314 Macon St
Eufaula, AL 36027-1810

Mailing address

PO Box 1964
Dothan, AL 36302-1964
Phone (334) 687-7346

Other identifiers 1

IdentifierTypeStateIssuer
009941545MedicaidAL

Other names 1

  • Breathing Care Associates - Eufaula Doing business as

National Provider Directory

National Provider Directory
Part of
Triad of Alabama LLC

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239667200000",
    "number": "1063464204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1964",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363021964",
            "telephone_number": "334-687-7346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 MACON ST",
            "city": "EUFAULA",
            "state": "AL",
            "postal_code": "360271810",
            "telephone_number": "334-687-7346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIAD OF ALABAMA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRIAD OF ALABAMA LLC",
        "enumeration_date": "2006-05-16",
        "last_updated": "2009-04-14",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "DIRECTOR, PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "615-465-7626"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "AL",
            "license": "5082",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AL",
            "license": "5082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009941545",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Breathing Care Associates - Eufaula",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eufaula, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.