Active NPI
Butler - Ivy Creek Home Health, LLC
Doing business as Ivy Creek-Butler Home Health
- Home Health Agency
- Georgiana, AL
National Provider Identifier
1124161054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 11769
- Legal business name
- BUTLER - IVY CREEK HOME HEALTH, LLC
- Doing business as
- Ivy Creek-Butler Home Health
- Practice address
- 605 Meeting Ave
Georgiana, AL 36033 - Phone
- (334) 376-2286
- Fax
- (334) 376-3661
- NPI assigned
- Feb 14, 2007
- Last updated
- Aug 15, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael D Bruce
- Title
- Ceo & Ao
- Phone
- (334) 567-4311
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 11769 | AL | Primary |
Addresses
Primary practice location
605 Meeting Ave
Georgiana, AL 36033
Mailing address
605 Meeting Ave
Georgiana, AL 36033-4522
Phone (334) 376-2286
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| REL7136A | Medicaid | AL |
Other names 1
- IVY CREEK-BUTLER HOME HEALTH
National Provider Directory
National Provider Directory- Tax ID family
- Butler - Ivy Creek Home Health LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Emergency Medicine Physician
- Georgiana, AL
- NPI 1629413745
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Georgiana, AL
- NPI 1801994983
-
- Family Medicine Physician
- Centreville, AL
- NPI 1619986924
-
- Internal Medicine Physician
- Georgiana, AL
- NPI 1144239450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755216000000",
"number": "1124161054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 MEETING AVE",
"city": "GEORGIANA",
"state": "AL",
"postal_code": "360334522",
"telephone_number": "334-376-2286",
"fax_number": "334-376-3661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 MEETING AVE",
"city": "GEORGIANA",
"state": "AL",
"postal_code": "36033",
"telephone_number": "334-376-2286",
"fax_number": "334-376-3661"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BUTLER - IVY CREEK HOME HEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-14",
"last_updated": "2025-08-15",
"certification_date": "2025-08-14",
"status": "A",
"authorized_official_last_name": "BRUCE",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "CEO & AO",
"authorized_official_telephone_number": "334-567-4311"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "AL",
"license": "11769",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "REL7136A",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "IVY CREEK-BUTLER HOME HEALTH",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "IVY CREEK-BUTLER HOME HEALTH",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Georgiana, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.