Gulf Coast Al Senior Care, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

GULF COAST AL SENIOR CARE, LLC

Practice address

1203 US Highway 98 BLDG 1 Unit D & E
Daphne, AL 36526-4277

Phone

(251) 305-4500

Fax

(251) 901-2929

NPI assigned

Oct 17, 2023

Organization subpart

No

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

Authorized official

Name

Taura Domingue

Title

Owner

Phone

(251) 305-4500

Specialties & licenses 1

Addresses

Other names 1

• Amada Senior Care Doing business as

Locations

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

{
    "created_epoch": "1697500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697500800000",
    "number": "1093597759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1928 HOGAN DR",
            "city": "GULF SHORES",
            "state": "AL",
            "postal_code": "365427400",
            "telephone_number": "251-305-4500",
            "fax_number": "251-901-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 US HIGHWAY 98 BLDG 1 UNIT D & E",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365264277",
            "telephone_number": "251-305-4500",
            "fax_number": "251-901-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST AL SENIOR CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-17",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A",
        "authorized_official_last_name": "DOMINGUE",
        "authorized_official_first_name": "TAURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-305-4500"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amada Senior Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Daphne, AL
• Providers in Daphne, AL by specialty
• In Home Supportive Care Agency in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.