Sandra Gardner, EXECUTIVE DIRECTOR

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

555 Ridgefield Way
Odenville, AL 35120-5461

Phone

(205) 234-9240

NPI assigned

Jan 23, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Patricia Phillips Estelle Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Dreams Inc Short Term Nursing

  • Skilled Nursing Facility
  • Odenville, AL
  • NPI 1639580590
  NPD (past) Authorized official

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

{
    "created_epoch": "1390435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390435200000",
    "number": "1487077640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 RIDGEFIELD WAY",
            "city": "ODENVILLE",
            "state": "AL",
            "postal_code": "351205461",
            "telephone_number": "205-234-9240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 RIDGEFIELD WAY",
            "city": "ODENVILLE",
            "state": "AL",
            "postal_code": "351205461",
            "telephone_number": "205-234-9240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "SANDRA",
        "credential": "EXECUTIVE DIRECTOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-23",
        "last_updated": "2014-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "ESTELLE",
            "middle_name": "PHILLIPS",
            "credential": "NA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Bradley Durrance
• Curtis M Eddy, PHARM D
• Courtney Alexis Eggleston Merriweather, DO
• Matthew Wayne Foster, LPC
• Fullscope Mobile Diagnostics
• Gifted Hands Healthcare LLC
• Michael Paul Gigis I, DNP, MSN, FNE, RN
• Ebony Shantell Gonzales
• Chartiece Gunter
• Hall Business Group LLC

• Home Health Aide in Odenville, AL
• Providers in Odenville, AL by specialty
• Home Health Aide in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; 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.