NPIMap

Organization Active NPI

Middle Bay Ventures LLC -

  • In Home Supportive Care Agency
  • Daphne, AL
National Provider Identifier
1134526320
Registry record updated Dec 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MIDDLE BAY VENTURES LLC -
Practice address
1048 Stanton Rd
Suite D
Daphne, AL 36526-4294
Phone
(251) 621-1900
NPI assigned
Dec 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2014

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

Authorized official

Name
John A Luedecke
Title
Owner
Phone
(251) 621-1900

Specialties & licenses 1

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

Addresses

Primary practice location

1048 Stanton Rd
Suite D
Daphne, AL 36526-4294

Mailing address

1048 Stanton Rd
Suite D
Daphne, AL 36526-4294
Phone (251) 621-1900

Other names 1

  • Synergy HomeCare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Middle Bay Ventures 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.

Locations

1048 Stanton Rd
Ste D
Daphne, AL 36526
Phone (251) 621-1900

NPI Registry JSON

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

{
    "created_epoch": "1417564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417564800000",
    "number": "1134526320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1048 STANTON RD",
            "address_2": "SUITE D",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365264294",
            "telephone_number": "251-621-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1048 STANTON RD",
            "address_2": "SUITE D",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365264294",
            "telephone_number": "251-621-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLE BAY VENTURES LLC -",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-03",
        "last_updated": "2014-12-03",
        "status": "A",
        "authorized_official_last_name": "LUEDECKE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-621-1900"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Synergy HomeCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Daphne, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; 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.