Organization Active NPI

National Healthcare of Cullman Inc

  • Home Health Agency
  • Cullman, AL
National Provider Identifier
1124115696
Registry record updated Jun 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
H2202 Issued in AL
Legal business name
NATIONAL HEALTHCARE OF CULLMAN INC
Practice address
1910 Cherokee Ave SW
Cullman, AL 35055
Phone
(256) 775-7400
Fax
(256) 775-8388
NPI assigned
Oct 6, 2006
Organization subpart
Yes
Parent organization
NATIONAL HEALTHCARE OF CULLMAN INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 23, 2009

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

Authorized official

Name
Mr. S Ray Coffey
Title
VP, Reimbursement
Phone
(615) 764-3009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X H2202 AL Primary

Addresses

Primary practice location

1910 Cherokee Ave SW
Cullman, AL 35055

Mailing address

501 Corporate Centre Dr Ste 200
Franklin, TN 37067-2662
Phone (615) 764-3009

Other identifiers 2

IdentifierTypeStateIssuer
1007144MedicaidAL
51044121OtherALBCBS

Other names 1

  • Woodland Medical Center Home Health Doing business as

National Provider Directory

National Provider Directory
Part of
Nationalelliott Saltz MD

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245715200000",
    "number": "1124115696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 CORPORATE CENTRE DR STE 200",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370672662",
            "telephone_number": "615-764-3009",
            "fax_number": "615-764-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 CHEROKEE AVE SW",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "35055",
            "telephone_number": "256-775-7400",
            "fax_number": "256-775-8388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL HEALTHCARE OF CULLMAN INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NATIONAL HEALTHCARE OF CULLMAN INC",
        "enumeration_date": "2006-10-06",
        "last_updated": "2009-06-23",
        "status": "A",
        "authorized_official_last_name": "COFFEY",
        "authorized_official_first_name": "S",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "VP, REIMBURSEMENT",
        "authorized_official_telephone_number": "615-764-3009",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AL",
            "license": "H2202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007144",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51044121",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodland Medical Center Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cullman, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.