NPIMap

Organization Active NPI

Midsouth a Gentiva Company

  • Home Health Agency
  • Birmingham, AL
National Provider Identifier
1578626669
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
PTH1397 Issued in AL
Legal business name
MIDSOUTH A GENTIVA COMPANY
Practice address
631 Beacon Pkwy W
Birmingham, AL 35209-3124
Phone
(205) 945-4859
Fax
(205) 945-8605
NPI assigned
Dec 19, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Brenda Long ChappellNPI 1225046741
Title
Physical Therapist
Phone
(205) 945-4859

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X PTH1397 AL Primary

Addresses

Primary practice location

631 Beacon Pkwy W
Birmingham, AL 35209-3124

Mailing address

631 Beacon Pkwy W
Birmingham, AL 35209-3124
Phone (205) 945-4859

National Provider Directory

National Provider Directory

Locations

631 Beacon Pkwy W
Birmingham, AL 35209
Phone (205) 945-4859

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578626669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 BEACON PKWY W",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352093124",
            "telephone_number": "205-945-4859",
            "fax_number": "205-945-8605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 BEACON PKWY W",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352093124",
            "telephone_number": "205-945-4859",
            "fax_number": "205-945-8605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDSOUTH A GENTIVA COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHAPPELL",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "LONG",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "205-945-4859"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AL",
            "license": "PTH1397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

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

Verify at the official NPI Registry.