NPIMap

Organization Active NPI

Mustard Seed Companion Care

  • In Home Supportive Care Agency
  • Butler, AL
National Provider Identifier
1164859583
Registry record updated Sep 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
1-084006 Issued in AL
Legal business name
MUSTARD SEED COMPANION CARE
Practice address
702 Stevens Rd
Butler, AL 36904-2151
Phone
(205) 604-9184
NPI assigned
Sep 30, 2013
Last updated
Sep 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2013

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

Authorized official

Name
Lawanda Prestage, R.N.
Title
Owner/Director
Phone
(205) 604-9184

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 1-084006 AL Primary

Addresses

Primary practice location

702 Stevens Rd
Butler, AL 36904-2151

Mailing address

3370 Hwy 156
Pennington, AL 36916
Phone (205) 604-9184

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380499200000",
    "number": "1164859583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3370 HWY 156",
            "city": "PENNINGTON",
            "state": "AL",
            "postal_code": "36916",
            "telephone_number": "205-604-9184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 STEVENS RD",
            "city": "BUTLER",
            "state": "AL",
            "postal_code": "369042151",
            "telephone_number": "205-604-9184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSTARD SEED COMPANION CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-30",
        "last_updated": "2013-09-30",
        "status": "A",
        "authorized_official_last_name": "PRESTAGE",
        "authorized_official_first_name": "LAWANDA",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "205-604-9184",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "AL",
            "license": "1-084006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; 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.