State of Alabama Department of Public Health

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH

Doing business as

Etowah County Home Care

Practice address

709 East Broad Street
Gadsden, AL 35903

Phone

(256) 547-5012

Fax

(256) 543-0067

NPI assigned

Oct 17, 2006

Last updated

Sep 13, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTHAs reported in NPPES

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

Authorized official

Name

Grover T Wedgeworth

Title

State Home Care Director

Phone

(334) 206-5341

Specialties & licenses 1

Addresses

Other names 1

• Etowah County Home Care Doing business as

Part of

Lawrence County Health Dept Adult Immun

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726185600000",
    "number": "1114007713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 MONROE ST",
            "address_2": "THE RSA TOWER, SUITE1200",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361043735",
            "telephone_number": "334-206-5341",
            "fax_number": "334-206-5985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 EAST BROAD STREET",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "35903",
            "telephone_number": "256-547-5012",
            "fax_number": "256-543-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH",
        "enumeration_date": "2006-10-17",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A",
        "authorized_official_last_name": "WEDGEWORTH",
        "authorized_official_first_name": "GROVER",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "STATE HOME CARE DIRECTOR",
        "authorized_official_telephone_number": "334-206-5341"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Etowah County Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Spruiell, DMD
• Mark Spurlock, LMFT
• George C Stacey Jr., DMD
• Jennifer Stapp, RPH
• State of Alabama
• State of Alabama Department of Public Health (Etowah County Health Dept Flu-Pneu)
• State of Alabama Department of Public Health (Etowah County Home Care)
• State of Alabma Department of Public Health (Etowah County Home Care)
• Stateserv Medical, LLC
• Rosa M. Statom, LPC

• Home Health Agency in Gadsden, AL
• Providers in Gadsden, AL by specialty
• Home Health Agency in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; 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.