NPIMap

Organization Active NPI

Sunbridge Home Health Care, Inc.

  • In Home Supportive Care Agency
  • Decatur, AL
National Provider Identifier
1124473863
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SUNBRIDGE HOME HEALTH CARE, INC.
Practice address
2124 6TH Ave SE Ste 400
Decatur, AL 35601-6510
Phone
(256) 580-5800
Fax
(256) 580-5801
NPI assigned
May 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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

Authorized official

Name
Mr. Randall D'Wayne Poe, RN
Title
Chief Administrative Officer
Phone
(256) 238-3800

Specialties & licenses 1

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

Addresses

Primary practice location

2124 6TH Ave SE Ste 400
Decatur, AL 35601-6510

Mailing address

PO Box 2615
Decatur, AL 35602-2615

National Provider Directory

National Provider Directory
Tax ID family
Sunbridge Home Health Care Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

303 2nd Ave SE
Decatur, AL 35601

2124 6th Ave SE
#400
Decatur, AL 35601
Phone (256) 580-5800

NPI Registry JSON

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631836800000",
    "number": "1124473863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2615",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356022615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2124 6TH AVE SE STE 400",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356016510",
            "telephone_number": "256-580-5800",
            "fax_number": "256-580-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNBRIDGE HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-02",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A",
        "authorized_official_last_name": "POE",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "D'WAYNE",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "256-238-3800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; 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.