Organization 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
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
11769 Issued in AL
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
REL7136AMedicaidAL

Other names 1

  • IVY CREEK-BUTLER HOME HEALTH Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Butler - Ivy Creek Home Health LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

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.

Verify at the official NPI Registry.