State of Alabama Department of Public Health

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH

Doing business as

Dallas County Home Care

Practice address

100 Samuel O Moseley Dr
Selma, AL 36701-6729

Phone

(334) 872-2323

Fax

(334) 872-0279

NPI assigned

Oct 17, 2006

Last updated

Oct 19, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTHAs reported in NPPES

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

Authorized official

Name

Grover T Wedgeworth

Title

State Home Care Director

Phone

(334) 206-5341

Specialties & licenses 1

Addresses

Other names 1

• Dallas County Home Care Doing business as

Part of

Escambia County Health Dept-Brewton Mat

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255910400000",
    "number": "1205916897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 MONROE ST",
            "address_2": "THE RSA TOWER, SUITE 1200",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361043735",
            "telephone_number": "334-206-5341",
            "fax_number": "334-206-5985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SAMUEL O MOSELEY DR",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367016729",
            "telephone_number": "334-872-2323",
            "fax_number": "334-872-0279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH",
        "enumeration_date": "2006-10-17",
        "last_updated": "2009-10-19",
        "status": "A",
        "authorized_official_last_name": "WEDGEWORTH",
        "authorized_official_first_name": "GROVER",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "STATE HOME CARE DIRECTOR",
        "authorized_official_telephone_number": "334-206-5341"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dallas County Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Song Eye Center
• Dae Y Song, M.D.
• SSC Selma Operating Company LLC (Warren Manor Health and Rehabilitation Center)
• State of Alabama
• State of Alabama Department of Public Health (Dallas County Home Care)
• State of Alabama Department of Public Health (Dallas County Home Care)
• State of Alabama Department of Public Health (Dallas County Health Dept Flu-Pneu)
• Demetrius Steele, FAMILY NURSE PRACTIT
• William Michael Stevens, MD
• Jasmine Nicole Stokes

• Home Health Agency in Selma, AL
• Providers in Selma, AL by specialty
• Home Health Agency in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2009; 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.