Active NPI
Charlitha D Tolbert
- Home Health Agency
- Adamsville, AL
National Provider Identifier
1336764125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 00089872
- Practice address
- 5212 Hazelwood Rd
Adamsville, AL 35005-1738 - Phone
- (205) 240-5482
- NPI assigned
- Jun 8, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 00089872 | AL | Primary |
Addresses
Primary practice location
5212 Hazelwood Rd
Adamsville, AL 35005-1738
Mailing address
210 Fieldstown Rd Ste 100
Gardendale, AL 35071-2418
Phone (205) 240-5482
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00089872 | AL | MD | Home Health Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Passionate Angel'S Senior Care L.L.C. | Home Health | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Health Agency
- Hoover, AL
- NPI 1700470960
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591574400000",
"number": "1336764125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 FIELDSTOWN RD STE 100",
"city": "GARDENDALE",
"state": "AL",
"postal_code": "350712418",
"telephone_number": "205-240-5482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5212 HAZELWOOD RD",
"city": "ADAMSVILLE",
"state": "AL",
"postal_code": "350051738",
"telephone_number": "205-240-5482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOLBERT",
"first_name": "CHARLITHA",
"middle_name": "D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-08",
"last_updated": "2020-06-08",
"certification_date": "2020-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "AL",
"license": "00089872",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Adamsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.