State of Alabama Department of Public Health

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH

Practice address

204 Liberty LN
Scottsboro, AL 35769-4133

Phone

(256) 259-3694

Fax

(256) 574-4803

NPI assigned

Oct 17, 2006

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

• Jackson County Home Care Doing business as

Part of

St Clair County Health Dept-Ashville AIDS

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256169600000",
    "number": "1255411898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 MONROE ST",
            "address_2": "THE RSA TOWER, SUITE1200",
            "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": "204 LIBERTY LN",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357694133",
            "telephone_number": "256-259-3694",
            "fax_number": "256-574-4803"
        }
    ],
    "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": "2009-10-22",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jackson County Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Southern Estates Assisted Living
• Southern Family Markets LLC
• David Gregory Sparks
• Sportsmed Orthopaedic Specialists, PC
• State of Alabama
• State of Alabama Department of Public Health
• State of Alabama Department of Public Health
• State of Alabama Department of Public Health
• Hugh Jefferson Stewart III
• Marty Stewart

• Home Health Agency in Scottsboro, AL
• Providers in Scottsboro, 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 22, 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.