Organization Active NPI

Mending Hearts on Wheels

  • Home Health Agency
  • Montgomery, AL
National Provider Identifier
1205502929
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MENDING HEARTS ON WHEELS
Practice address
3477 Cross Creek Dr
Montgomery, AL 36116-3654
Phone
(334) 462-8931
Fax
(334) 281-9052
NPI assigned
Aug 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Authorized official

Name
Earnestine Pollard AlexanderNPI 1053892398
Title
Registered Nurse/Owner
Phone
(334) 462-8931

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3477 Cross Creek Dr
Montgomery, AL 36116-3654

Mailing address

3477 Cross Creek Dr
Montgomery, AL 36116-3654
Phone (334) 462-8931

Other names 1

  • MENDING HEARTS ON WHEELS Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210825002706 AL Part B Supplier - Mass Immunization (Roster Biller Only) 3577968791 Practice locations: Montgomery, AL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1629590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629936000000",
    "number": "1205502929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3477 CROSS CREEK DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361163654",
            "telephone_number": "334-462-8931",
            "fax_number": "334-281-9052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3477 CROSS CREEK DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361163654",
            "telephone_number": "334-462-8931",
            "fax_number": "334-281-9052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDING HEARTS ON WHEELS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-22",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "EARNESTINE",
        "authorized_official_middle_name": "POLLARD",
        "authorized_official_title_or_position": "REGISTERED NURSE/OWNER",
        "authorized_official_telephone_number": "334-462-8931"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MENDING HEARTS ON WHEELS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.