NPIMap

Organization Active NPI

Gulf Coast Homecare LLC Dba Firstlight Homecare of Mobile Eastern Shor

  • In Home Supportive Care Agency
  • Mobile, AL
National Provider Identifier
1386024719
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GULF COAST HOMECARE LLC DBA FIRSTLIGHT HOMECARE OF MOBILE EASTERN SHOR
Practice address
5601 Nevius Rd Ste B
Mobile, AL 36619-3901
Phone
(251) 281-2004
Fax
(251) 206-6366
NPI assigned
Jun 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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

Authorized official

Name
James W. Ethridge
Title
President
Phone
(251) 281-2004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

5601 Nevius Rd Ste B
Mobile, AL 36619-3901

Mailing address

2315 N Country Club LN
Biloxi, MS 39532-3205
Phone (228) 297-0233

Other names 1

  • FirstLight Homecare Emerald Coast Doing business as

National Provider Directory

National Provider Directory

Locations

924 Plantation Blvd
Ste C
Fairhope, AL 36532

5601 Nevius Rd
#B
Mobile, AL 36619
Phone (251) 281-2004

NPI Registry JSON

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651104000000",
    "number": "1386024719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 N COUNTRY CLUB LN",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395323205",
            "telephone_number": "228-297-0233",
            "fax_number": "251-206-6366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 NEVIUS RD STE B",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366193901",
            "telephone_number": "251-281-2004",
            "fax_number": "251-206-6366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST HOMECARE LLC DBA FIRSTLIGHT HOMECARE OF MOBILE EASTERN SHOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-01",
        "last_updated": "2022-04-28",
        "certification_date": "2022-01-12",
        "status": "A",
        "authorized_official_last_name": "ETHRIDGE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "251-281-2004"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FirstLight Homecare Emerald Coast",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; 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.