Active NPI
Mending Hearts on Wheels
- Home Health Agency
- Montgomery, AL
National Provider Identifier
1205502929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Earnestine Pollard Alexander
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210825002706 | AL | Part B Supplier - Mass Immunization (Roster Biller Only) | 3577968791 | Practice locations: Montgomery, AL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Home Health Registered Nurse
- Montgomery, AL
- NPI 1053892398
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.