NPIMap

Organization Active NPI

Central North Alabama Health Services, Inc.

  • Home Health Agency
  • Huntsville, AL
National Provider Identifier
1366478083
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CENTRAL NORTH ALABAMA HEALTH SERVICES, INC.
Practice address
1310 Pulaski Pike
Suite a
Huntsville, AL 35816-2528
Phone
(256) 539-4457
Fax
(256) 539-6823
NPI assigned
Jun 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Authorized official

Name
Mr. Carleton Pyfrom Sr.
Title
President/Ceo
Phone
(256) 534-8659

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1310 Pulaski Pike
Suite a
Huntsville, AL 35816-2528

Mailing address

PO Box 18488
Huntsville, AL 35804-8488
Phone (256) 534-8659

Other identifiers 7

IdentifierTypeStateIssuer
51530154OtherALBLUE CROSS BLUE SHIELDS
51547536OtherALBLUE CROSS BLUE SHIELDS
51547535OtherALBLUE CROSS BLUE SHIELDS
51547537OtherALBLUE CROSS BLUE SHIELDS
51517371OtherALBLUE CROSS BLUE SHIELDS
51541456OtherALBLUE CROSS BLUE SHIELDS
51531178OtherALBLUE CROSS BLUE SHIELDS

Other names 1

  • Spectrum Home Health Agency Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120412000524 AL Part A Provider - Home Health Agency 2668454802 Practice locations: Huntsville, AL

Home health agency certification: CCN 017050

Legal name
CENTRAL NORTH ALABAMA HEALTH SERVICES, INC.
Doing business as
SPECTRUM HOME HEALTH AGENCY
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 19, 1983
Last certification
Jun 25, 2021
Ownership / control type
Proprietary
Organization structure
CorporationNon-profit
Incorporated
Jul 20, 1982 in AL
Enrollment address
1310 Pulaski Pike
Huntsville, AL 35816-2528

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Spectrum Home Health AgencyCCN 017050
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Oct 19, 1983
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D0878968Spectrum Home Health Agency1310 Pulaski Pike Suite a, Huntsville, AL 35816Certificate of waiverNov 8, 2027

National Provider Directory

National Provider Directory
Tax ID family
Central North Alabama Health Services Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1310 Pulaski Pike NW
Ste A
Huntsville, AL 35816
Phone (256) 539-4457

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Carleton Pyfrom Individual Corporate Officer Jul 20, 1982
W-2 Managing Employee Feb 23, 2012
Arthur Reeves Individual Corporate Director Jan 1, 2017
Helen Walker Individual Corporate DirectorBoard Chairman Jan 21, 1999
Laura Hall Individual Corporate Director Jan 21, 1999
Earl Gooding Individual Corporate DirectorSecretary Jan 15, 1987
Harold Grayson Individual Corporate DirectorTreasurer Jan 1, 2018
Laquita Mims Individual Corporate Director Jan 1, 2017
Samuel Soto Individual Corporate Director Jan 1, 2017

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
New Market ClinicNew Market, AL, CCN 011976 Federally qualified health center Operational/Managerial Control Jul 20, 1982

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685059200000",
    "number": "1366478083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18488",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358048488",
            "telephone_number": "256-534-8659",
            "fax_number": "256-533-0276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 PULASKI PIKE",
            "address_2": "SUITE A",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358162528",
            "telephone_number": "256-539-4457",
            "fax_number": "256-539-6823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL NORTH ALABAMA HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A",
        "authorized_official_last_name": "PYFROM",
        "authorized_official_first_name": "CARLETON",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "256-534-8659",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELDS",
            "identifier": "51530154",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELDS",
            "identifier": "51547536",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELDS",
            "identifier": "51547535",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELDS",
            "identifier": "51547537",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELDS",
            "identifier": "51517371",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELDS",
            "identifier": "51541456",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELDS",
            "identifier": "51531178",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spectrum Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.