Organization Active NPI

One Forty Three Ventures

  • In Home Supportive Care Agency
  • Montgomery, AL
National Provider Identifier
1114406402
Registry record updated Aug 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ONE FORTY THREE VENTURES
Practice address
7121 Halcyon Park Dr
Montgomery, AL 36117-7702
Phone
(334) 320-8035
Fax
(334) 517-1045
NPI assigned
Aug 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2018

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

Authorized official

Name
Susan Ezell
Title
Owner
Phone
(334) 320-8035

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X AL Primary

Addresses

Primary practice location

7121 Halcyon Park Dr
Montgomery, AL 36117-7702

Mailing address

7121 Halcyon Park Dr
Montgomery, AL 36117-7702
Phone (334) 320-8035

Other names 1

  • Right At Home Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533686400000",
    "number": "1114406402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7121 HALCYON PARK DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177702",
            "telephone_number": "334-320-8035",
            "fax_number": "334-517-1045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7121 HALCYON PARK DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177702",
            "telephone_number": "334-320-8035",
            "fax_number": "334-517-1045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE FORTY THREE VENTURES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-08",
        "last_updated": "2018-08-08",
        "status": "A",
        "authorized_official_last_name": "EZELL",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-320-8035"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Right At Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; 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.