State of Alabama Department of Public Health

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH

Doing business as

Marengo County Home Care

Practice address

303 Industrial Dr
Linden, AL 36748-2002

Phone

(334) 295-0000

Fax

(334) 295-0617

NPI assigned

Oct 19, 2006

Last updated

Oct 22, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTHAs reported in NPPES

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

Authorized official

Name

Grover T Wedgeworth

Title

State Home Care Director

Phone

(334) 206-5341

Specialties & licenses 1

Addresses

Other names 1

• Marengo County Home Care Doing business as

Part of

Escambia County Health Dept-Brewton Mat

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256169600000",
    "number": "1386726610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 MONROE ST",
            "address_2": "THE RSA TOWER, SUITE 1200",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361043735",
            "telephone_number": "334-206-5341",
            "fax_number": "334-206-5985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 INDUSTRIAL DR",
            "city": "LINDEN",
            "state": "AL",
            "postal_code": "367482002",
            "telephone_number": "334-295-0000",
            "fax_number": "334-295-0617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH",
        "enumeration_date": "2006-10-19",
        "last_updated": "2009-10-22",
        "status": "A",
        "authorized_official_last_name": "WEDGEWORTH",
        "authorized_official_first_name": "GROVER",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "STATE HOME CARE DIRECTOR",
        "authorized_official_telephone_number": "334-206-5341"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marengo County Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Ann Palmer
• Lakeshia R Parker
• John C Simmons, MD
• State of Alabama
• State of Alabama Department of Public Health (Marengo County Home Care)
• State of Alabama Department of Public Health (Marengo County Health Dept Flu-Pneu)
• State of Alabama Department of Public Health (Marengo County Home Care)
• Tombigbee Healthcare Authority (the Whit Family Clinic Linden)
• Ellen Robertson Wallace, LCSW

• Home Health Agency in Linden, AL
• Providers in Linden, AL by specialty
• Home Health Agency in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2009; 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.