Organization Active NPI

FC of Alabama Inc

Doing business as Intrepid USA Healthcare Services

  • Home Health Agency
  • Montgomery, AL
National Provider Identifier
1275515850
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FC OF ALABAMA INC
Doing business as
Intrepid USA Healthcare Services
Practice address
445 Dexter Ave Ste 4050
Montgomery, AL 36104-3867
Phone
(334) 270-7913
Fax
(334) 270-0668
NPI assigned
Nov 18, 2005
Last updated
Apr 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

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

Authorized official

Name
Paul M McMullen
Title
Coo
Phone
(214) 445-3750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

445 Dexter Ave Ste 4050
Montgomery, AL 36104-3867

Mailing address

3220 Keller Springs Rd Ste 108
Carrollton, TX 75006-5911
Phone (214) 445-3750

Other names 1

  • Intrepid USA Healthcare Services Doing business as

National Provider Directory

National Provider Directory

Locations

4141 Wall St
Ste 4141
Montgomery, AL 36106
Phone (334) 270-7913

NPI Registry JSON

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587600000000",
    "number": "1275515850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 KELLER SPRINGS RD STE 108",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750065911",
            "telephone_number": "214-445-3750",
            "fax_number": "214-445-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 DEXTER AVE STE 4050",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361043867",
            "telephone_number": "334-270-7913",
            "fax_number": "334-270-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FC OF ALABAMA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-18",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A",
        "authorized_official_last_name": "MCMULLEN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "214-445-3750"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Intrepid USA Healthcare Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Intrepid USA Healthcare Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 23, 2020; 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.