Organization Active NPI

Crest Home Healthcare of Alabama

  • Assisted Living Facility
  • Birmingham, AL
National Provider Identifier
1295275790
Registry record updated Mar 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
17018973 Issued in AL
Legal business name
CREST HOME HEALTHCARE OF ALABAMA
Practice address
2100 Southbridge Pkwy
691
Birmingham, AL 35209-1302
Phone
(205) 414-7000
NPI assigned
Mar 2, 2017
Last updated
Mar 2, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2017

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

Authorized official

Name
Yolanda Gail Carpenter, 06/1963
Title
Executive Director
Phone
(205) 243-0859

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 17018973 AL Primary

Addresses

Primary practice location

2100 Southbridge Pkwy
691
Birmingham, AL 35209-1302

Mailing address

2100 Southbridge Pkwy
691
Birmingham, AL 35209-1302
Phone (205) 414-7000

National Provider Directory

National Provider Directory

Locations

2100 Southbridge Pkwy
#691
Birmingham, AL 35209
Phone (205) 414-7000

NPI Registry JSON

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

{
    "created_epoch": "1488412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488412800000",
    "number": "1295275790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 SOUTHBRIDGE PKWY",
            "address_2": "691",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352091302",
            "telephone_number": "205-414-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 SOUTHBRIDGE PKWY",
            "address_2": "691",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352091302",
            "telephone_number": "205-414-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREST HOME HEALTHCARE OF ALABAMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-02",
        "last_updated": "2017-03-02",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_middle_name": "GAIL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "205-243-0859",
        "authorized_official_credential": "06/1963"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AL",
            "license": "17018973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; 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.